Healthcare Provider Details

I. General information

NPI: 1003913831
Provider Name (Legal Business Name): MARIA V PAMARAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10230 E ARTESIA BLVD #302
BELLFLOWER CA
90706
US

IV. Provider business mailing address

10230 E ARTESIA BLVD #302
BELLFLOWER CA
90706
US

V. Phone/Fax

Practice location:
  • Phone: 562-461-7588
  • Fax: 562-461-7478
Mailing address:
  • Phone: 562-461-7588
  • Fax: 562-461-7478

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA053592
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: