Organization
ROBERTO H MARIANO MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTO MARIANO (MEDICAL DIRECTOR)
(818) 655-9902
Entity
Organization
Contact information
Practice address
12030 RIVERSIDE DR, SUITE # A, STUDIO CITY, CA 91607-3749
(818) 655-9902
Mailing address
12030 RIVERSIDE DR, SUITE # A, STUDIO CITY, CA 91607-3749
(818) 655-9902
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G73610
CA
Other
Enumeration date
09/12/2008
Last updated
01/12/2009
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