Individual
JEFFREY N MAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9479 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5844
(909) 771-8023
(909) 658-8977
Mailing address
9479 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5844
(909) 771-8023
(909) 989-0606
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A87348
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A873480
—
CA
Enumeration date
07/13/2006
Last updated
07/20/2024
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