Provider Demographics
NPI:1437595485
Name:MARINA MASLOVARIC MD INC
Entity Type:Organization
Organization Name:MARINA MASLOVARIC MD INC
Other - Org Name:OC WOMAN OB-GYN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASLOVARIC
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-646-2800
Mailing Address - Street 1:500 SUPERIOR AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3657
Mailing Address - Country:US
Mailing Address - Phone:949-646-2800
Mailing Address - Fax:949-646-8147
Practice Address - Street 1:500 SUPERIOR AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3657
Practice Address - Country:US
Practice Address - Phone:949-646-2800
Practice Address - Fax:949-646-8147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-17
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA103853207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty