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NPI Code Detail

MEDICARE: MR. CHRISTOPHER OLEA MARZAN CMPSS

MEDICARE: MR. CHRISTOPHER OLEA MARZAN CMPSS
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
1175T00000XPeer SpecialistMPSS-NKPLXOCA

General Provider Information

NPI Number : 1548138290
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER OLEA MARZAN CMPSS
Provider Business Mailing Address
First Line : 501 S ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-6952
Country : US
Telephone Number : 916-237-6405
Fax Number : 279-300-3327
Provider Business Practice Location Address
First Line : 501 S ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95811-6952
Country : US
Telephone Number : 916-237-6405
Fax Number : 279-300-3327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2025
Last Update Date : 12/10/2025

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