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Individual

MARY LI MA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5555 GROSSMONT CENTER DR, LA MESA, CA 91942-3019
(619) 740-6000
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
284755
NY
207V00000X
Obstetrics & Gynecology Physician
Primary
C187124
CA

Other

Enumeration date
07/06/2012
Last updated
06/20/2024
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