Healthcare Provider Details

I. General information

NPI: 1740127836
Provider Name (Legal Business Name): MARCOS SURIEL H.I.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9901 PARAMOUNT BLVD STE 236
DOWNEY CA
90240-3853
US

IV. Provider business mailing address

9901 PARAMOUNT BLVD STE 236
DOWNEY CA
90240-3853
US

V. Phone/Fax

Practice location:
  • Phone: 562-517-7507
  • Fax: 562-800-4015
Mailing address:
  • Phone: 562-517-7507
  • Fax: 562-800-4015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number9256
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: