Dr. Marie Therese Medawar
M.D. | Pediatric Adolescent Medicine | Female
Dr. Marie Therese Medawar, M.D. is a Encino, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Marie Therese Medawar is
5353 Balboa Blvd, Suite 104, Encino, California - 91316-2804. She can be contacted on phone at
818-789-7181 and fax number 818-986-8322.
Dr. Marie Therese Medawar is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Marie Therese Medawar is
1376621938 which was assigned by NPPES on 01 Nov, 2006 and it was last updated on 09 Jul, 2007.
Dr. Marie Therese Medawar license number is
A44251 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Dr. Marie Therese Medawar specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Marie Therese Medawar basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Marie Therese Medawar |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Marie Therese Medawar address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 5353 Balboa Blvd, Suite 104
Encino, CA, 91316-2804
United States |
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| Phone Number : | 818-789-7181 |
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| Fax Number : | 818-986-8322 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1376621938 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Nov, 2006 |
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| Last Updated On : | 09 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Marie Therese Medawar are as mentioned. Primary taxonomy code for Dr. Marie Therese Medawar, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | A44251 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Marie Therese Medawar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00A442510 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 5353 Balboa Blvd, Suite 104
Encino, CA, 91316-2804
United States |
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| Phone Number : | 818-789-7181 |
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| Fax Number : | 818-986-8322 |
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Business Location:
Patients can refer following map for directions to
Dr. Marie Therese Medawar practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.