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

Dr. Marko Michael Mamic, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104197565

Dr. Marko Michael Mamic, DO is a Student in an Organized Health Care Education/Training Program in Colton, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

400 N Pepper Ave
Colton, CA 92324-1801
Phone: (909) 580-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 20A12620 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104197565
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 17, 2012
Last updated in NPPESMay 7, 2014
Mailing address228 N Prospectors Rd, Diamond Bar, CA 91765-1548

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