Healthcare Provider Details

I. General information

NPI: 1285829150
Provider Name (Legal Business Name): MARLENE CARINO TUSCANO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2007
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 S HARBOR BLVD STE 650
ANAHEIM CA
92805-3756
US

IV. Provider business mailing address

7328 E WILSHIRE DR
SCOTTSDALE AZ
85257-1441
US

V. Phone/Fax

Practice location:
  • Phone: 714-871-5646
  • Fax: 714-817-7368
Mailing address:
  • Phone: 480-492-6367
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA97196
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: