MEDICARE: RICHARD MARQUISS ND

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	175F00000X	Naturopath	ND1525	CA

General Provider Information

NPI Number	:	1770308256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD MARQUISS ND

Provider Business Mailing Address
First Line	:	3410 FOUR PEAKS ST
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92010-5512
Country	:	US
Telephone Number	:	760-271-8149
Fax Number	:

Provider Business Practice Location Address
First Line	:	32406 COAST HWY
Second Line	:
City	:	LAGUNA BEACH
State	:	CA
Zip	:	92651-6783
Country	:	US
Telephone Number	:	949-464-4770
Fax Number	:

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

Provider Enumeration Date	:	11/19/2024
Last Update Date	:	11/19/2024

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