Healthcare Provider Details

I. General information

NPI: 1245832286
Provider Name (Legal Business Name): MARRIED TO HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4533 MACARTHUR BLVD
NEWPORT BEACH CA
92660-2059
US

IV. Provider business mailing address

4533 MACARTHUR BLVD
NEWPORT BEACH CA
92660-2059
US

V. Phone/Fax

Practice location:
  • Phone: 949-373-5559
  • Fax:
Mailing address:
  • Phone: 949-373-5559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: JAMES MARIN
Title or Position: COO
Credential: RD
Phone: 626-315-3756