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

Marilyn Tadiaman Pudol

Individual provider Family Nurse Practitioner · NPI 1720573439

Marilyn Tadiaman Pudol is a Family Nurse Practitioner in El Segundo, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018

Practice location Address checks out

2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749
Phone: (323) 628-8671
Show map & directions

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

Additional practice locations (1)

  • 3056 Fletcher Dr, Los Angeles, CA 90065-2207 — (323) 256-2231

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95008725 (CA)

Record details

NPI number1720573439
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 25, 2018
Last updated in NPPESOctober 24, 2019

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