Healthcare Provider Details

I. General information

NPI: 1093496010
Provider Name (Legal Business Name): CINDY MONICA MARQUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E SLAUSON AVE STE B
HUNTINGTON PARK CA
90255-2725
US

IV. Provider business mailing address

11429 VALLEY BLVD
EL MONTE CA
91731-3229
US

V. Phone/Fax

Practice location:
  • Phone: 323-277-7678
  • Fax:
Mailing address:
  • Phone: 626-993-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberASW131435
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: