Healthcare Provider Details

I. General information

NPI: 1821717455
Provider Name (Legal Business Name): EMMA GRACE PAPASIN MARASIGAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2022
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3482 SADDLE DR
SPRING VALLEY CA
91977-2035
US

IV. Provider business mailing address

4950 WARING RD STE 4
SAN DIEGO CA
92120-2700
US

V. Phone/Fax

Practice location:
  • Phone: 619-303-0812
  • Fax:
Mailing address:
  • Phone: 619-997-9121
  • Fax: 619-660-6604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: