Individual
MARY GATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3211
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3211
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
G84331
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G84331
LICENSE
CA
Enumeration date
02/26/2007
Last updated
01/04/2012
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