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Individual

DR. JOHN FRANCIS MAHER III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22924 CRENSHAW BLVD, TORRANCE, CA 90505-3023
(424) 328-0091
(424) 328-0094
Mailing address
22924 CRENSHAW BLVD, TORRANCE, CA 90505-3023
(424) 328-0091
(424) 328-0094

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G54565
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000198598
HIGHMARK BLUE SHIELD
PA
01
0004080884
AETNA
01
00G545650
BLUE SHIELD
CA
05
00G545651
CA
01
180004317
RAILROAD MEDICARE
01
330449875
BLUE CROSS OF CALIF
CA
01
330449875
BLUE CROSS BLUE SHIELD OF
IL
01
330449875
TRICARE
WI
01
330449875
CIGNA
01
G54565
PIN #
Enumeration date
03/05/2007
Last updated
10/04/2017
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