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Marvich Enterprises, LLC

Community/Retail Pharmacy in Hidden Valley Lake, CA · enumerated 2007 · authorized official Michael Maravich, Managing Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790806602

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Marvich Enterprises, LLC
Other name <Unavail>
Practice address 19851 Hartmann Road, Suite C, Hidden Valley Lake, CA, 95467
Fax (707) 987-3120
Enumeration date Apr 2, 2007
Last updated in NPPES Mar 27, 2013

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License PHY45680 (CA) Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Michael Maravich
Title Managing Member

Other identifiers

Identifier Type State Issuer
PHY45680 Other CA STATE PHCY LICENSE
PHA456800 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Marvich Enterprises, LLC located?
The practice location on file with NPPES is in Hidden Valley Lake, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-03-27. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-03-27.