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Organization
MEDICAL ASSOCIATES OF LITTLE COMPANY OF MARY INC.
Active
Organization
MEDICAL ASSOCIATES OF LITTLE COMPANY OF MARY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY JO DONAHUE MD (PRESIDENT)
(310) 371-1010
Entity
Organization
Contact information
Practice address
21311 MADRONA AVE, 100A, TORRANCE, CA 90503-5970
(310) 792-4400
(310) 542-5805
Mailing address
21311 MADRONA AVE, 100A, TORRANCE, CA 90503-5970
(310) 792-4400
(310) 542-5805
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A43741
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W13712
MEDICARE GROUP PPIN
CA
Enumeration date
05/11/2010
Last updated
05/11/2010
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