Healthcare Provider Details

I. General information

NPI: 1952441099
Provider Name (Legal Business Name): SIGALIT MARMORSTEIN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26565 AGOURA RD STE 200
CALABASAS CA
91302-1990
US

IV. Provider business mailing address

26565 AGOURA RD STE 200
CALABASAS CA
91302-1990
US

V. Phone/Fax

Practice location:
  • Phone: 800-998-7042
  • Fax: 800-998-7042
Mailing address:
  • Phone: 800-998-7042
  • Fax: 800-998-7042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number527825
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: