Mary Margaret Ewing, M.D., M.B.A.
Psychiatry & Neurology, Psychiatry in La Jolla, CA. Individual provider (NPI-1).
NPI number1073652004
StatusActive
Last updated in NPPESMar 30, 2023
Details
- NPI
- 1073652004
- Entity type
- Individual (NPI-1)
- Name
- Mary Margaret Ewing
- Credential
- M.D., M.B.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2007
- Certification date
- Mar 30, 2023
- Last updated
- Mar 30, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | A112699 | CA | Yes |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 2006-0220 | NM |
Practice location
1120 Silverado St Ste 203La Jolla, CA 92037-4524
Phone 858-412-5141
Mailing address
7660 Fay Ave # 352La Jolla, CA 92037-0021
Phone 619-549-4025
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