Individual provider · Type 1 NPI

Mara Beth Coyne, PA-C

Surgical Physician Assistant · Glendale, CA

NPI number 1902852155 Active

Practice location

1505 Wilson Ter, Suite 200
Glendale, CA 91206-4071

Call (818) 246-8974 Map

Fax (818) 246-7673

Mailing address

27426 Cherry Creek Dr
Valencia, CA 91354-2056

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPT-18312 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1902852155

Mara Beth Coyne, PA-C's National Provider Identifier is 1902852155, issued on May 26, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Glendale, CA. The record was last updated on Dec 2, 2021.