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MARIA LOURDES S MARA MD - A MEDICAL CORP
NPI 1679890644
Clinic/Center in San Diego, CA

Active since April 29, 2010
2939 ALTA VIEW DR STE J, SAN DIEGO, CA 92139(619) 475-5411(619) 475-1839 Get Directions Write a Review

NPPES record last updated: March 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maria Lourdes S Mara Md - A Medical Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIA LOURDES S MARA MD - A MEDICAL CORP (NPI 1679890644) is a healthcare organization registered as a clinic/center in San Diego, California and active in the NPI registry since April 2010. The organization lists Maria Lourdes De Los Santos Mara, President, as its authorized official.

NPPES Registry Identity

NPI1679890644
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMARIA LOURDES S MARA MD - A MEDICAL CORP
Location Address2939 ALTA VIEW DR STE JSan Diego, CA 92139-3394
Mailing Address2939 Alta View Dr Ste JSan Diego, CA 92139-3394 · (619) 475-5411 · Fax (619) 475-1839
Phone(619) 475-5411
Fax(619) 475-1839
Organization SubpartNo
Authorized OfficialMaria Lourdes De Los Santos MaraPresident · (619) 475-5411
Enumeration DateApril 29, 2010
Last NPPES UpdateMarch 9, 2011
✔ NPI 1679890644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed · A51864
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2939 ALTA VIEW DR STE J, San Diego, CA 92139
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Other Identifiers 4

Medicare UPINF96657CA
Medicare PINDJ250ACA
Medicaid00A518642CA
Medicare PINA51864A

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maria Lourdes S Mara MD - A Medical Corp's NPI number?

The NPI number for Maria Lourdes S Mara MD - A Medical Corp is 1679890644. It was assigned to this organization in the NPPES registry on April 29, 2010.

Where is Maria Lourdes S Mara MD - A Medical Corp located?

Maria Lourdes S Mara MD - A Medical Corp is located at 2939 Alta View Dr Ste J, San Diego, CA 92139. The listed phone number is (619) 475-5411.

What is Maria Lourdes S Mara MD - A Medical Corp's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Maria Lourdes S Mara MD - A Medical Corp was last updated on March 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.