Organization
MARTA A RECASENS MD A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Macular Retinal Vitreal Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTA A RECASENS M.D. (PRESIDENT)
(818) 552-2140
Entity
Organization
Contact information
Practice address
1111 N BRAND BOULEVARD, SUITE 320, GLENDALE, CA 91202-3071
(818) 552-2140
(818) 237-3628
Mailing address
1111 N BRAND BOULEVARD, SUITE 320, GLENDALE, CA 91202-3071
(818) 552-2140
(818) 237-3628
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A69115
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32773
STATE OF CALIFORNIA FNP
CA
Enumeration date
12/29/2007
Last updated
12/30/2021
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