person
Dr. Mara Coloma, MD
General Practice Physician in Huntington Park, California
NPI 1023184132

Mara Coloma is a General Practice Physician based in Beverly Hills, CA. Mara Coloma practices in Huntington Park, CA and has the professional credentials of MD. The NPI Number for Mara Coloma is 1023184132 and holds a License No. A45090 (California).

The current practice location address for Mara Coloma is 6347 Pacific Blvd, Huntington Park, CA and can be reached out via phone at 323-583-8383 and via fax at 323-583-8399.

Location: 6347 Pacific Blvd, Huntington Park, CA, 90213-3432
person
Provider Profile Details
NPI Number
1023184132
Provider Name
Mara Coloma
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6347 Pacific Blvd, Huntington Park, CA, 90213-3432
Phone Number
323-583-8383
Fax Number
323-583-8399
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A450900 05 CA
institution
Provider Business Practice Location Address Details
Address
6347 Pacific Blvd
City
State
Zip
90255-4101
Phone Number
323-583-8383
Fax Number
323-583-8399
person
Provider Business Mailing Address Details
Address
6347 Pacific Blvd
City
State
Zip
90255-4101
Phone Number
323-583-8383
Fax Number
323-583-8399
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A45090 (California)
Definition
Definition to come...
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