SearchCalifornia101YS0200X

Michael Marmolejo, PPS

NPI 1811806979 · on the registry since 2026

Practice

Address
7400 W Manchester Ave
Los Angeles, CA 90045
Phone
(310) 410-9940
Organisation at this address
Lavelle Youth Homes
Open Arms Mens Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
101YS0200X
101YS0200X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-03

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