Healthcare Provider Details

I. General information

NPI: 1417528936
Provider Name (Legal Business Name): MARC APKARIAN PHD, EP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 07/06/2021
Certification Date: 07/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11278 LOS ALAMITOS BLVD # 807
LOS ALAMITOS CA
90720-3958
US

IV. Provider business mailing address

11278 LOS ALAMITOS BLVD # 807
LOS ALAMITOS CA
90720-3958
US

V. Phone/Fax

Practice location:
  • Phone: 714-455-9355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Y00000X
TaxonomyClinical Exercise Physiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: