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:
Health care specialties
| Specialty | Code | License # | 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 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457687204 | NPPES |
| Arkansas | MEDICAID | 061833974 | |
| Arkansas | MEDICAID | 1457687204 |
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