Individual
MR. MAYER MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2568 CLARENDON AVE, HUNTINGTON PARK, CA 90255
(323) 582-5444
(323) 584-6992
Mailing address
2568 CLARENDON AVE, HUNTINGTON PARK, CA 90255
(323) 582-5444
(323) 584-6992
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G69356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CB245383
—
CA
01
—
G69356
CHDP
CA
01
—
GR0095860
MEDI-CAL PROVIDER NUMBER
CA
01
—
GR0095861
MEDI-CAL PROVIDER NUMBER
CA
01
—
GR0095862
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
08/08/2006
Last updated
07/11/2023
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