Individual
MARLA FABIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
701 SANTA MONICA BLVD STE 230, SANTA MONICA, CA 90401-2625
(310) 993-4103
(805) 494-8385
Mailing address
701 SANTA MONICA BLVD STE 230, SANTA MONICA, CA 90401-2625
(310) 993-4103
(805) 494-8385
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95107060
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95032340
CA
Other
Enumeration date
01/18/2022
Last updated
04/02/2025
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