Healthcare Provider Details

I. General information

NPI: 1164303442
Provider Name (Legal Business Name): MARQUE MEDICAL CLINIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 E PALOMAR ST STE 103
CHULA VISTA CA
91911-6975
US

IV. Provider business mailing address

605 E PALOMAR ST STE 103
CHULA VISTA CA
91911-6975
US

V. Phone/Fax

Practice location:
  • Phone: 877-693-6266
  • Fax: 619-378-7385
Mailing address:
  • Phone: 877-693-6266
  • Fax: 619-378-7385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALISA JONES
Title or Position: DIRECTOR
Credential:
Phone: 949-760-9222