Individual
DR. DORSA F. MARYSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 E BEVERLY BLVD STE 304, MONTEBELLO, CA 90640-4316
(323) 722-7418
(323) 722-7894
Mailing address
101 E BEVERLY BLVD STE 304, MONTEBELLO, CA 90640-4316
(323) 722-7418
(323) 722-7894
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A97299
CA
207RN0300X
Nephrology Physician
Primary
A92799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CS168Y
—
CA
Enumeration date
07/02/2007
Last updated
08/01/2022
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