Individual
MARINA M ATALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2450 ASHBY AVE, ROOM 5505, BERKELEY, CA 94705-2067
(510) 204-4444
Mailing address
3687 MT DIABLO BLVD, SUITE 200, LAFAYETTE, CA 94549-3717
(916) 854-6975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A104889
CA
208M00000X
Hospitalist Physician
230056
MA
208M00000X
Hospitalist Physician
Primary
A104889
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A104889
STATE LICENSE
CA
Enumeration date
07/15/2006
Last updated
03/22/2017
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