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General NPI Number Information
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NPI Number | 1801912506
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Entity Type | Individual
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Provider Name | MARCEL M MAYA MD
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Gender | Male
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 8700 BEVERLY BLVD ROOM M335
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City | LOS ANGELES
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State | CA
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Zip | 90048
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Country | US
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Telephone | 310-423-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4313
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City | WOODLAND HILLS
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State | CA
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Zip | 91365-4313
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Country | US
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Telephone | 805-375-8800
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Fax | 805-375-8900
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A64599
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | A64599
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License Number State | CA
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