Dr. Mara Coloma
General Practice Physician
6347 Pacific Blvd
Huntington Park
, California 90255-4101
Dr. Mara Coloma
General Practice Physician
6347 Pacific Blvd
Huntington Park
, California 90255-4101
(213) 384-3373
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Mara Coloma
- Po Box 10432
- Beverly Hills, CA
- Zip : 90213-3432
- Fax : (213) 384-3373
- Phone : (213) 637-2530
Second Address
- Dr. Mara Coloma
- 6347 Pacific Blvd
- Huntington Park, CA
- Zip : 90255-4101
- Fax : (323) 583-8399
- Phone : (323) 583-8383
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | A45090 | CA |
National Provider Identifier
| NPI | 1023184132 |
|---|---|
| Provider Name | Dr. Mara Coloma |
| First Address | Beverly Hills, CA 90213-3432 |
| Second Address | Huntington Park, CA 90255-4101 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2006 |
| Last Update Date | 14/05/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A450900 | (05) | CA |
| F45640 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.