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NPI Code Detail

MEDICARE: DR. AMY MARIE MARIN

MEDICARE: DR. AMY MARIE MARIN
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
1237600000XAudiologist-Hearing Aid FitterAU2909CA
2231H00000XAudiologistAU2909CA

General Provider Information

NPI Number : 1801234349
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY MARIE MARIN
Provider Business Mailing Address
First Line : 1045 E VALLEY PKWY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-4618
Country : US
Telephone Number : 760-489-6901
Fax Number :
Provider Business Practice Location Address
First Line : 1045 E VALLEY PKWY
Second Line :
City : ESCONDIDO
State : CA
Zip : 92025-4618
Country : US
Telephone Number : 760-489-6901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2013
Last Update Date : 01/22/2025

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