Gandara, Marla M

Gandara, Marla M is an individual health care provider with primary practice located at 501 S Buena Vista St , Burbank CA 91505-4809. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Gandara, Marla M can be contacted via phone (818) 847-4055.

Contact Information

Primary practice address
501 S Buena Vista St Burbank CA 91505-4809
Phone: (818) 847-4055
Fax: (818) 848-4320
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A115486 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207PH0002X A115486 California

Profile Details

NPI number 1902108145
LBN Legal business name Gandara, Marla M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2010
Last updated Apr 22nd, 2024 - about last year

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 1902108145 NPPES
California Other A115486 MEDICAL LICENSE

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