NPI
Marielle Celis Bolano
NPI 1053766196
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2016-04-26
- Last updated
- 2026-05-21
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Specialties
Licenses
- License CA
- A166900
Location
- Practice location
- 8000 Marina Blvd Fl 8
- City
- Brisbane CA
- Postal code
- 94005-1844
- Phone
- (415) 514-3577
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Brisbane, CA. 51 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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