Provider Demographics
NPI:1437026226
Name:MARQUEZ, ERICK ALEXIS
Entity type:Individual
Prefix:
First Name:ERICK
Middle Name:ALEXIS
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 E PALMDALE BLVD UNIT 1415
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93550-2019
Mailing Address - Country:US
Mailing Address - Phone:661-228-0567
Mailing Address - Fax:616-241-2678
Practice Address - Street 1:1311 E PALMDALE BLVD UNIT 1415
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93550-2019
Practice Address - Country:US
Practice Address - Phone:661-228-0567
Practice Address - Fax:616-241-2678
Is Sole Proprietor?:No
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator