Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARIAN J WYMORE, M.D.
Active Sole ProprietorDR. MARIAN J WYMORE, M.D. is a Family Medicine healthcare provider located in PALOS VERDES PENINSULA, California. NPI 1902184062 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PALOS VERDES PENINSULA, CA
Registration Details
- NPI Number
- 1902184062
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 23, 2011 (14.878037084932 yrs)
- Last Updated
- Jul 23, 2011
- License
-
G50846 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27336 SUNNYRIDGE RDPALOS VERDES PENINSULA, CA, 902744037Browse CA providers · Browse ZIP 90274
- Phone
- 3107800155
- Fax
- 3103778874
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.