MEDICARE: MARY LEMASTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225400000X	Rehabilitation Practitioner		CA

General Provider Information

NPI Number	:	1871287425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY LEMASTER

Provider Business Mailing Address
First Line	:	1300 S GRAND AVE STE C
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-4402
Country	:	US
Telephone Number	:	657-363-7341
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 S GRAND AVE
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-4434
Country	:	US
Telephone Number	:	657-363-7341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2023
Last Update Date	:	02/24/2026

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Directions to “ MARY LEMASTER ” Practice Location

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