Healthcare Provider Details

I. General information

NPI: 1386030765
Provider Name (Legal Business Name): MARINA SNITMAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/12/2015
Last Update Date: 04/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11329 DONA LOLA DR
STUDIO CITY CA
91604-4320
US

IV. Provider business mailing address

11329 DONA LOLA DR
STUDIO CITY CA
91604-4320
US

V. Phone/Fax

Practice location:
  • Phone: 310-801-2505
  • Fax:
Mailing address:
  • Phone: 310-801-2505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number50989
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number14944
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: