Individual
MARY CATHERINE MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1801 WILSHIRE BLVD STE 100, SANTA MONICA, CA 90403-5609
(310) 319-5098
(310) 319-4552
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
120511
CA
Other
Enumeration date
05/05/2010
Last updated
01/23/2020
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