Provider Demographics
NPI:1093707788
Name:JUAREZ, MARGARET MARY (MD)
Entity Type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:MARY
Last Name:JUAREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 LAS TUNAS DR
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-8485
Mailing Address - Country:US
Mailing Address - Phone:626-462-0000
Mailing Address - Fax:626-462-0082
Practice Address - Street 1:601 LAS TUNAS DR
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-8485
Practice Address - Country:US
Practice Address - Phone:626-462-0000
Practice Address - Fax:626-462-0082
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG60420207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G604203Medicaid
CAGR0069250Medicaid
CAGR0069250Medicaid
CA00G604203Medicaid