Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 95014347 | CA |
Y | 363L00000X | Nurse Practitioner | 95014347 | CA |
NPI | 1164710554 |
---|---|
Provider Name | Mr. Marc I Epstein |
First Address | Monterey, CA 93940-5736 |
Second Address | Monterey, CA 93940-5736 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2011 |
Last Update Date | 29/04/2021 |