Provider Demographics
NPI:1780892869
Name:RHODENHILL, MARCUS AARON (LAC, PA-C)
Entity type:Individual
Prefix:
First Name:MARCUS
Middle Name:AARON
Last Name:RHODENHILL
Suffix:
Gender:M
Credentials:LAC, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3853 W STETSON AVE
Mailing Address - Street 2:SUITE #100
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92545-9674
Mailing Address - Country:US
Mailing Address - Phone:303-204-6088
Mailing Address - Fax:
Practice Address - Street 1:2090 NEVADA CITY HWY
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-7702
Practice Address - Country:US
Practice Address - Phone:530-274-5020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-20
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11675171100000X
CA53033363AM0700X
CA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No171100000XOther Service ProvidersAcupuncturist