Individual
DR. MAYA C SPAETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, BSC, FACS, CAFP
Contact information
Practice address
4605 BROCKTON AVE STE 200, RIVERSIDE, CA 92506-0107
(951) 222-4748
(951) 274-3427
Mailing address
4605 BROCKTON AVE STE 200, RIVERSIDE, CA 92506-0107
(951) 222-4748
(951) 274-3427
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
35095923
OH
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
35095923
OH
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
A103913
CA
2086S0105X
Surgery of the Hand (Surgery) Physician
A103913
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
A103913
CA
Other
Enumeration date
05/10/2007
Last updated
06/23/2023
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