Individual
MARY HENARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1250 16TH ST # C2304, SANTA MONICA, CA 90404-1249
(310) 319-4698
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
(805) 569-8358
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A184657
CA
208M00000X
Hospitalist Physician
Primary
A184657
CA
Other
Enumeration date
07/28/2020
Last updated
08/29/2023
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