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Maria Lourdes S Mara Md - A Medical Corp
Clinic/Center in San Diego, California
NPI 1679890644

Maria Lourdes S Mara Md - A Medical Corp is a Clinic/Center based in San Diego, CA. Maria Lourdes S Mara Md - A Medical Corp practices in San Diego, CA. The NPI Number for Maria Lourdes S Mara Md - A Medical Corp is 1679890644 and holds a License No. A51864 (California).

The current practice location address for Maria Lourdes S Mara Md - A Medical Corp is 2939 Alta View Dr Ste J, San Diego, CA and can be reached out via phone at 619-475-5411 and via fax at 619-475-1839.

Location: 2939 Alta View Dr Ste J, San Diego, CA, 92139-3394
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679890644
Provider Name
Maria Lourdes S Mara Md - A Medical Corp
Credential
Provider Entity Type
Organization
Address
2939 Alta View Dr Ste J, San Diego, CA, 92139-3394
Phone Number
619-475-5411
Fax Number
619-475-1839
Provider Enumeration Date
04/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A518642 05 CA
institution
Provider Business Practice Location Address Details
Address
2939 Alta View Dr Ste J
City
San Diego
State
California
Zip
92139-3394
Phone Number
619-475-5411
Fax Number
619-475-1839
person
Provider Business Mailing Address Details
Address
2939 Alta View Dr Ste J
City
San Diego
State
California
Zip
92139-3394
Phone Number
619-475-5411
Fax Number
619-475-1839
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
A51864 ()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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