Coloma, Mara

Coloma, Mara is an sole proprietor health care provider with primary practice located at 6347 Pacific Blvd , Huntington Park CA 90255-4101. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Coloma, Mara can be contacted via phone (323) 583-8383.

Contact Information

Primary practice address
6347 Pacific Blvd Huntington Park CA 90255-4101
Phone: (323) 583-8383
Fax: (323) 583-8399
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A45090 California

Profile Details

NPI number 1023184132
LBN Legal business name Coloma, Mara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated May 14th, 2010 - about 16 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 1023184132 NPPES
California MEDICAID 00A450900

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