Provider Demographics
NPI:1427071208
Name:EPSTEIN, MARSHA ANN (MD)
Entity type:Individual
Prefix:DR
First Name:MARSHA
Middle Name:ANN
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 642728
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-8243
Mailing Address - Country:US
Mailing Address - Phone:310-390-6430
Mailing Address - Fax:310-390-6430
Practice Address - Street 1:695 S VERMONT AVE
Practice Address - Street 2:SOUTH TOWER 14TH FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90005-1349
Practice Address - Country:US
Practice Address - Phone:310-390-6430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA237772083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA23777Medicaid
CAA23777Medicaid
CAA23777Medicaid