Organization
MARCIL M. MAMITA, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIL M. MAMITA M.D., (PRESIDENT)
(310) 490-6954
Entity
Organization
Contact information
Practice address
3655 LOMITA BLVD STE 418, TORRANCE, CA 90505-1934
(310) 530-6900
(310) 530-6902
Mailing address
941 STANFORD ST, SANTA MONICA, CA 90403-2223
(310) 490-6954
(310) 490-6954
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
02/16/2010
Last updated
03/08/2019
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