DR. MARTA IMA ATALLA M.D. NPI 1457687204

NPI Information

NPI: 1457687204
Provider Name: DR. MARTA IMA ATALLA, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
557 N MACLAY AVE
SAN FERNANDO, CA
ZIP 91340
Phone: (818) 639-0210
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DR. Marta Ima Atalla, M.D. is a specialist in San Fernando, CA with 34 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Marta Ima Atalla, M.D. NPI is 1457687204. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

557 N MACLAY AVE
SAN FERNANDO, CA
ZIP 91340-424
Phone: (818) 639-0210

The NPI 1457687204 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/29/2009 and was last updated on 4/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	208000000X	Pediatrics	T2009-123	ARKANSAS	No
2	208000000X	Pediatrics	A121879	CALIFORNIA	No
3	174400000X	Specialist	A121879	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	061833974	MEDICAID	ARKANSAS
2	1457687204	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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