Organization
MARY LEE AMERIAN, MD A MEDICAL CORP
Active
Organization
MARY LEE AMERIAN, MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LEE AMERIAN M.D. (OWNER)
(310) 829-9396
Entity
Organization
Contact information
Practice address
2336 SANTA MONICA BLVD, SUITE 209, SANTA MONICA, CA 90404-2095
(310) 829-9396
(310) 829-3809
Mailing address
2336 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2095
(310) 829-9396
(310) 829-3809
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G54408
CA
Other
Enumeration date
06/14/2012
Last updated
07/30/2012
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