Provider Demographics
NPI:1508376013
Name:MARWAN ZOGHBI MD INC
Entity Type:Organization
Organization Name:MARWAN ZOGHBI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARWAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:ZOGHBI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:559-699-1739
Mailing Address - Street 1:3632 W PACKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-5033
Mailing Address - Country:US
Mailing Address - Phone:559-734-6701
Mailing Address - Fax:559-732-3211
Practice Address - Street 1:3622 W PACKWOOD AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-5010
Practice Address - Country:US
Practice Address - Phone:559-382-3820
Practice Address - Fax:559-224-1012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-10
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA142501261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care