Healthcare Provider Details

I. General information

NPI: 1326733031
Provider Name (Legal Business Name): MARSHA REUTHER M.D., INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2023
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5090 SHOREHAM PL STE 210
SAN DIEGO CA
92122-5935
US

IV. Provider business mailing address

5090 SHOREHAM PL STE 210
SAN DIEGO CA
92122-5935
US

V. Phone/Fax

Practice location:
  • Phone: 858-926-7010
  • Fax: 858-926-7011
Mailing address:
  • Phone: 858-926-7010
  • Fax: 858-926-7011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARSHA SONIA KADZE REUTHER
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 858-926-7010