Provider Demographics
NPI:1386698330
Name:STRATTON, MARC JOHNATHAN (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:JOHNATHAN
Last Name:STRATTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:23600 TELO AVE
Mailing Address - Street 2:STE 2200
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4035
Mailing Address - Country:US
Mailing Address - Phone:310-534-8400
Mailing Address - Fax:310-534-0463
Practice Address - Street 1:23600 TELO AVE
Practice Address - Street 2:STE 2200
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4035
Practice Address - Country:US
Practice Address - Phone:310-534-8400
Practice Address - Fax:310-534-0463
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG48982208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A92863Medicare UPIN
CAW11165Medicare ID - Type Unspecified