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Search › California › 246RP1900X

Marco Dimailig

NPI 1376151217 · on the registry since 2020 · sole proprietor

Practice

Address
624 S Berendo St Apt 404
Los Angeles, CA 90005
Phone
(818) 648-2170
Organisation at this address
Prime Star Home Care, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
246RP1900X
246RP1900X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-07-16

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