Provider Demographics
NPI:1477640332
Name:JABLON, MARCIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:
Last Name:JABLON
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:MARCIA
Other - Middle Name:
Other - Last Name:JABLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3944
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91617
Mailing Address - Country:US
Mailing Address - Phone:805-491-1902
Mailing Address - Fax:
Practice Address - Street 1:50 BELLEFONTAINE STREET
Practice Address - Street 2:SUITE 403
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3132
Practice Address - Country:US
Practice Address - Phone:626-792-1912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63186207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine