Atalla, Marta Ima

Atalla, Marta Ima is an individual health care provider with primary practice located at 557 N Maclay Ave , San Fernando CA 91340-2424. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Atalla, Marta Ima can be contacted via phone (818) 639-0210.

Contact Information

Primary practice address
557 N Maclay Ave San Fernando CA 91340-2424
Phone: (818) 639-0210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X T2009-123 Arkansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A121879 California
Other Service Providers / Specialist 174400000X A121879 California

Profile Details

NPI number 1457687204
LBN Legal business name Atalla, Marta Ima
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2009
Last updated Apr 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457687204 NPPES
Arkansas MEDICAID 061833974
Arkansas MEDICAID 1457687204

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