Healthcare Provider Details

I. General information

NPI: 1437595485
Provider Name (Legal Business Name): MARINA MASLOVARIC MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2013
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W STEWART DR
ORANGE CA
92868-3849
US

IV. Provider business mailing address

120 TUSTIN AVE STE C
NEWPORT BEACH CA
92663-4729
US

V. Phone/Fax

Practice location:
  • Phone: 562-938-7000
  • Fax: 949-260-7800
Mailing address:
  • Phone: 310-986-0497
  • Fax: 949-260-7800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA103853
License Number StateCA

VIII. Authorized Official

Name: MARINA MASLOVARIC
Title or Position: MD
Credential:
Phone: 310-986-0497