Maryska, Dorsa F.

Maryska, Dorsa F. is an individual health care provider with primary practice located at 101 E Beverly Blvd Ste 304 , Montebello CA 90640-4316. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Maryska, Dorsa F. can be contacted via phone (323) 722-7418.

Contact Information

Primary practice address
101 E Beverly Blvd Ste 304 Montebello CA 90640-4316
Fax: (323) 722-7894
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A97299 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A92799 California

Profile Details

NPI number 1851598866
LBN Legal business name Maryska, Dorsa F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2007
Last updated Aug 1st, 2022 - about 3 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 1851598866 NPPES
California MEDICAID CS168Y

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