Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Marisa

Individual provider Rehabilitation Practitioner · NPI 1821292459

Charles Marisa is a Rehabilitation Practitioner in Covina, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1126 N Grand Ave Ste D
Covina, CA 91724-1551
Phone: (626) 967-1667
Fax: (626) 967-6027
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1821292459
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 14, 2007
Last updated in NPPESApril 30, 2025
Certification dateApril 22, 2025
Mailing address711 W Blaine Street, Suite C/D, Riverside, CA 92507

Other providers in Covina