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Search › California › 1223G0001X

Porfirio Maravilla, DENTIST

NPI 1053492272 · on the registry since 2006 · sole proprietor

Practice

Address
3540 Wilshire Blvd Ste 208
Los Angeles, CA 90010
Phone
(213) 388-2466
Fax
(213) 388-9775
Organisation at this address
Today Healthcare Inc
Wilshire Medical Clinic
Action Reha Center Inc.
Action Rehab Center Inc.
Kohanim Chiropractic Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California