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Contact Information

MARY K IGO, MD
18040 SHERMAN WAY
RESEDA, CA91335
 Phone: 818-883-9941
 Fax: 818-346-4253
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for MARY K IGO · (Female)

NPI Number 1124210653
Status Active
Credentials MD
Entity Individual
Enumeration date 08/17/2007
Last updated 01/10/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # G068164
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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