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NPI Verification

National Provider Identifier: 1023157021

Mara Renee Archambault, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine

Code: 207R00000X

Practice Address

3833 EMERALD AVE

LA VERNE, CA 917502904

Phone: 909-593-4531

NPI Enumeration Date

February 6, 2007

NPI Number

1023157021

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry