Provider Demographics
NPI:1871172767
Name:MARQUEZ, ARTVIN CHRISTIAN ORCA (APRN, NP-C)
Entity type:Individual
Prefix:
First Name:ARTVIN CHRISTIAN
Middle Name:ORCA
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:APRN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15101 FAIRFIELD RANCH RD UNIT 18304
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-8898
Mailing Address - Country:US
Mailing Address - Phone:626-392-8708
Mailing Address - Fax:
Practice Address - Street 1:15101 FAIRFIELD RANCH RD UNIT 18304
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-8898
Practice Address - Country:US
Practice Address - Phone:626-392-8708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017073363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty