Dr. Marena G F Michael
Dentist in La Verne, CA. Individual provider (NPI-1).
NPI number1740897487
StatusActive
Last updated in NPPESSep 27, 2020
Details
- NPI
- 1740897487
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marena G F Michael
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 27, 2020
- Certification date
- Sep 25, 2020
- Last updated
- Sep 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 105594 | CA | Yes |
Practice location
2216 Foothill BlvdLa Verne, CA 91750-2944
Phone 909-392-3899
Mailing address
1705 Garvey Ave Apt 4Alhambra, CA 91803-4257
Phone 909-660-9684
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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