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Individual

DR. CARLA BETH MARIENFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8950 VILLA LA JOLLA DR STE C101, LA JOLLA, CA 92037-1727
(858) 249-1680
(858) 249-1681
Mailing address
9500 GILMAN DR, MAIL CODE 0957, LA JOLLA, CA 92093-0957
(858) 534-8730
(858) 534-8863

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
047856
CT
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A142922
CA
2084P0800X
Psychiatry Physician
047856
CT
2084P0800X
Psychiatry Physician
A142922
CA
2084P0802X
Addiction Psychiatry Physician
047856
CT
2084P0802X
Addiction Psychiatry Physician
Primary
A142922
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
008003745
CT
01
D400073259
MEDICARE PROVIDER/SUPPLIER NUMBER
CT
Enumeration date
11/26/2007
Last updated
10/28/2022
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