MEDICARE: MR. MARCEL EMERSON 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

General Provider Information

NPI Number	:	1720967227
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MARCEL EMERSON PPS

Provider Business Mailing Address
First Line	:	12501 ISIS AVE
Second Line	:
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-4149
Country	:	US
Telephone Number	:	310-725-5805
Fax Number	:

Provider Business Practice Location Address
First Line	:	12501 ISIS AVE
Second Line	:
City	:	HAWTHORNE
State	:	CA
Zip	:	90250-4149
Country	:	US
Telephone Number	:	310-725-5805
Fax Number	:

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

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

Similar Medicare Providers

1205767142 — MRS. NYDIA OCHOA BRAVO PPS
Practice Location Address:

12501 ISIS AVE
HAWTHORNE, CA
90250-4149

Practice Phone: 310-725-5800
Practice Fax:

1932087285 — PRISCILLA VARGAS
Practice Location Address:

12501 ISIS AVE
HAWTHORNE, CA
90250-4149

Practice Phone: 310-725-5800
Practice Fax:

1306777917 — KANDANCE ARAGON
Practice Location Address:

13800 CHADRON AVE APT 9
HAWTHORNE, CA
90250-7882

Practice Phone: 310-227-0091
Practice Fax:

1952586323 — WALGREEN CO
Practice Location Address:

11983 HAWTHORNE BLVD
HAWTHORNE, CA
90250-3015

Practice Phone: 310-349-0130
Practice Fax: 310-349-0375

1932868833 — FRANKIE MEJORADO
Practice Location Address:

2501 W EL SEGUNDO BLVD STE B
HAWTHORNE, CA
90250-3317

Practice Phone: 323-754-2816
Practice Fax: 323-754-2828

1467382929 — JOSHUA PERAZA PPS - SCHOOL PSYCH
Practice Location Address:

13607 CORDARY AVE APT 213
HAWTHORNE, CA
90250-7490

Practice Phone: 909-744-4861
Practice Fax:

Directions to “ MR. MARCEL EMERSON PPS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.