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NPI Code Detail

MEDICARE: MARLON FARLEY MD

MEDICARE: MARLON FARLEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal MedicineA61290CA

General Provider Information

NPI Number : 1750325098
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLON FARLEY MD
Provider Business Mailing Address
First Line : 3215 W IMPERIAL HWY
Second Line :
City : INGLEWOOD
State : CA
Zip : 90303-2810
Country : US
Telephone Number : 909-559-6233
Fax Number : 909-395-9880
Provider Business Practice Location Address
First Line : 818 W ALONDRA BLVD
Second Line :
City : COMPTON
State : CA
Zip : 90220-3500
Country : US
Telephone Number : 909-559-6233
Fax Number : 909-395-9880
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 11/30/2021

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Directions to “ MARLON FARLEY MD” Practice Location

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