Marlon Carlo Estella, | |
25000 Avenue Stanford Ste 167, Valencia, CA 91355-4596 | |
(818) 600-2034 | |
Not Available |
Full Name | Marlon Carlo Estella |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 25000 Avenue Stanford Ste 167, Valencia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386413706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95028472 (California) | Primary |
Entity Name | New U Therapy Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568821692 PECOS PAC ID: 4981034402 Enrollment ID: O20200424001453 |
Mailing Address | Practice Location Address |
---|---|
Marlon Carlo Estella, 25000 Avenue Stanford Ste 167, Valencia, CA 91355-4596 Ph: (818) 600-2034 | Marlon Carlo Estella, 25000 Avenue Stanford Ste 167, Valencia, CA 91355-4596 Ph: (818) 600-2034 |
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