Medawar, Marie Therese
Medawar, Marie Therese is an individual health care provider with primary practice located at 5353 Balboa Blvd Suite 104, Encino CA 91316-2804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Medawar, Marie Therese can be contacted via phone (818) 789-7181.Contact Information
Primary practice address
5353 Balboa Blvd Suite 104
Encino CA 91316-2804
Phone: (818) 789-7181
Fax: (818) 986-8322
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | A44251 | California |
Profile Details
| NPI number | 1376621938 |
|---|---|
| LBN Legal business name | Medawar, Marie Therese |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1376621938 | NPPES |
| California | MEDICAID | 00A442510 |
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