Individual
MARIANA FAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C, RN
Contact information
Practice address
8536 WILSHIRE BLVD, SUITE 202, BEVERLY HILLS, CA 90211
(310) 248-8200
(310) 248-8290
Mailing address
8536 WILSHIRE BLVD, SUITE 202, BEVERLY HILLS, CA 90211-3153
(310) 248-8200
(310) 248-8290
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA-286
AR
363AM0700X
Medical Physician Assistant
Primary
PA20571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA20571
PA20571
CA
01
—
R77689
ARKANSAS RN LICENSE NUMBE
AR
Enumeration date
09/26/2006
Last updated
04/17/2013
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