Provider Demographics
NPI:1780761718
Name:DEGUZMAN, MARILYN MAJEO (DO)
Entity type:Individual
Prefix:
First Name:MARILYN
Middle Name:MAJEO
Last Name:DEGUZMAN
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Gender:F
Credentials:DO
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Mailing Address - Street 1:1535 W 7TH ST
Mailing Address - Street 2:#207
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-6952
Mailing Address - Country:US
Mailing Address - Phone:909-469-9494
Mailing Address - Fax:909-397-9809
Practice Address - Street 1:1770 N ORANGE GROVE AVE
Practice Address - Street 2:# 101
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-3027
Practice Address - Country:US
Practice Address - Phone:909-469-9494
Practice Address - Fax:909-398-9809
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2021-12-02
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Provider Licenses
StateLicense IDTaxonomies
CA20A10190207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine