Provider Demographics
NPI:1902926629
Name:RAWITCH, MARVIN ARNOLD (MD)
Entity Type:Individual
Prefix:MR
First Name:MARVIN
Middle Name:ARNOLD
Last Name:RAWITCH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:24100 D EL TORO RD
Mailing Address - Street 2:#69
Mailing Address - City:LAGUNA WOODS
Mailing Address - State:CA
Mailing Address - Zip Code:92637-3129
Mailing Address - Country:US
Mailing Address - Phone:714-402-7074
Mailing Address - Fax:949-859-0532
Practice Address - Street 1:101 E VALENCIA MESA DR
Practice Address - Street 2:ST JUDE MEDICAL CENTER
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835
Practice Address - Country:US
Practice Address - Phone:714-992-3978
Practice Address - Fax:714-992-3928
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG41842085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology