Healthcare Provider Details

I. General information

NPI: 1760820716
Provider Name (Legal Business Name): MARATHON HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2013
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6155 EL CAMINO REAL
CARLSBAD CA
92009-1602
US

IV. Provider business mailing address

6155 EL CAMINO REAL
CARLSBAD CA
92009-1602
US

V. Phone/Fax

Practice location:
  • Phone: 760-929-3952
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: ERIN SMITH
Title or Position: PHARMACY DIRECTOR
Credential:
Phone: 816-304-1933