Provider Demographics
NPI:1053427823
Name:PRESS, MARCELLA ANNE CALFON (MD PHD)
Entity type:Individual
Prefix:DR
First Name:MARCELLA
Middle Name:ANNE CALFON
Last Name:PRESS
Suffix:
Gender:F
Credentials:MD PHD
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Mailing Address - Street 1:100 MEDICAL PLZ
Mailing Address - Street 2:630
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-0001
Mailing Address - Country:US
Mailing Address - Phone:310-489-4214
Mailing Address - Fax:310-825-6346
Practice Address - Street 1:100 MEDICAL PLZ
Practice Address - Street 2:630
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-825-9011
Practice Address - Fax:310-825-6346
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2014-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA120911207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1053427823OtherCCS PANLED
CA1053427823Medicaid
CA1053427823Medicaid