Individual
DR. MARIAH ELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8631 W 3RD ST STE 510E, LOS ANGELES, CA 90048-5909
(310) 385-3380
Mailing address
8631 W 3RD ST STE 510E, LOS ANGELES, CA 90048-5909
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A202227
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2021
Last updated
06/25/2025
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