Provider Demographics
NPI:1033266879
Name:ALPERIN, MARIANN (MD, MS)
Entity Type:Individual
Prefix:
First Name:MARIANN
Middle Name:
Last Name:ALPERIN
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:MARIANNA
Other - Middle Name:
Other - Last Name:ALPERIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MS
Mailing Address - Street 1:3525 JOHN HOPKINS CT
Mailing Address - Street 2:STE 155
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92121-1121
Mailing Address - Country:US
Mailing Address - Phone:858-534-5015
Mailing Address - Fax:
Practice Address - Street 1:9350 CAMPUS POINT DRIVE, STE 2A, MC 0974
Practice Address - Street 2:UCSD WOMEN'S PELVIC MEDICINE
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-657-8435
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102879207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101462586Medicaid
PA096118Medicare ID - Type Unspecified
CA1033266879Medicare NSC