Organization
MAYER MD INC.
Active
Other names
DR. MAYER'S WOMEN'S AND CHILDREN
Organization subpart
No
Provider details
NPI number
Authorized official
MAYER MAYER M.D. (OWNER)
(323) 525-2500
Entity
Organization
Contact information
Practice address
2568 CLARENDON AVE, HUNTINGTON PARK, CA 90255-4073
(323) 582-5444
(323) 584-6992
Mailing address
2568 CLARENDON AVE, HUNTINGTON PARK, CA 90255-4073
(323) 582-5444
(323) 584-6992
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G69356
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G69356
CA
208000000X
Pediatrics Physician
G69356
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G69356
CHDP
CA
01
—
GR0095860
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
02/08/2007
Last updated
11/13/2024
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