Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARILYN IDA CARMONA, DC

Active Sole Proprietor

Orthopedic (Chiropractor) · SAN MATEO, CA

Registration Details

NPI Number: 1811917099
Provider Type: Individual
Gender: Female
NPI Issued: Jul 20, 2006 (19.755464302994 yrs)
Last Updated: Dec 30, 2016
License: 15160 (CA)
Sole Proprietor: Yes

Practice Information

Address: 1407 S B ST

STE #3

SAN MATEO, CA, 944022433
Browse CA providers · Browse ZIP 94402
Phone: 6503423452
Fax: 6503424087
Primary Specialty: Orthopedic (Chiropractor)
111NX0800X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.