Provider Demographics
NPI:1023843794
Name:MARISCAL, HECTOR FRANCISCO (CATC I)
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:FRANCISCO
Last Name:MARISCAL
Suffix:
Gender:M
Credentials:CATC I
Other - Prefix:
Other - First Name:HECTOR
Other - Middle Name:FRANCISCO
Other - Last Name:MARISCAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:31111 AGOURA RD STE 250
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4448
Mailing Address - Country:US
Mailing Address - Phone:818-390-9444
Mailing Address - Fax:
Practice Address - Street 1:31111 AGOURA RD STE 250
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4448
Practice Address - Country:US
Practice Address - Phone:818-390-9444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker