MEDICARE: MARISOL MARQUEZ PPS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor	250207668	CA

General Provider Information

NPI Number	:	1447126586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISOL MARQUEZ PPS

Provider Business Mailing Address
First Line	:	1637 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-1929
Country	:	US
Telephone Number	:	562-283-4456
Fax Number	:

Provider Business Practice Location Address
First Line	:	1637 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-1929
Country	:	US
Telephone Number	:	562-283-4456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	10/15/2025

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Directions to “ MARISOL MARQUEZ PPS” Practice Location

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