Healthcare Provider Details

I. General information

NPI: 1740949437
Provider Name (Legal Business Name): MARJORIE PARGA DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2021
Last Update Date: 12/10/2021
Certification Date: 12/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26322 TOWNE CENTRE DR APT 1018
FOOTHILL RANCH CA
92610-3403
US

IV. Provider business mailing address

26322 TOWNE CENTRE DR APT 1018
FOOTHILL RANCH CA
92610-3403
US

V. Phone/Fax

Practice location:
  • Phone: 949-351-7180
  • Fax: 949-298-9187
Mailing address:
  • Phone: 949-351-7180
  • Fax: 949-298-9187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: