Madsen, Mari Anne

Madsen, Mari Anne is an individual health care provider with primary practice located at 8737 Beverly Blvd Suite 402, West Hollywood CA 90048-1828. She recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as her primary health care specialty. Madsen, Mari Anne can be contacted via phone (310) 854-3580.

Contact Information

Primary practice address
8737 Beverly Blvd Suite 402 West Hollywood CA 90048-1828
Phone: (310) 854-3580
Fax: (310) 659-5830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X A92144 California

Profile Details

NPI number 1942286638
LBN Legal business name Madsen, Mari Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Apr 23rd, 2012 - about 12 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 1942286638 NPPES
California MEDICAID 00A92144

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