Individual
MARIANA MOGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 SAN PABLO ST, USC UNIVERSITY HOSPITAL, LOS ANGELES, CA 90033-5313
(323) 442-7400
(323) 442-7411
Mailing address
1520 SAN PABLO ST, SUITE 3451, LOS ANGELES, CA 90033-5310
(323) 442-7400
(323) 442-7411
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
A66641
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A666410
BLUE SHIELD
CA
05
—
00A666410
—
CA
01
—
00A666410328
CALOPTIMA
CA
01
—
050089047
RAILROAD MEDICARE
CA
Enumeration date
05/26/2006
Last updated
12/02/2021
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