Individual
MS. MARLA GWEN KALTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1245 WILSHIRE BLVD, #200, LOS ANGELES, CA 90017-4810
(213) 482-2993
(213) 482-2998
Mailing address
2201 5TH ST, #108, SANTA MONICA, CA 90405-2457
(310) 801-5319
(213) 482-2998
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA13614
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13614
STATE LICENSE
CA
Enumeration date
08/31/2006
Last updated
06/17/2011
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