Individual
MARIANNE BOTROS AYAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4051 VIA DOLCE, MARINA DEL REY, CA 90292-5027
(310) 306-4346
(310) 306-3177
Mailing address
4051 VIA DOLCE, MARINA DEL REY, CA 90292-5027
(310) 306-4346
(310) 306-3177
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A106240
CA
Other
Enumeration date
10/15/2009
Last updated
07/27/2010
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