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:
Health care specialties
| Specialty | Code | License # | 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 14 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 | 1023184132 | NPPES |
| California | MEDICAID | 00A450900 |
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