Hera Maryam
Internal Medicine, Infectious Disease in Santa Monica, CA. Individual provider (NPI-1).
NPI number1164047585
StatusActive
Last updated in NPPESAug 3, 2026
Details
- NPI
- 1164047585
- Entity type
- Individual (NPI-1)
- Name
- Hera Maryam
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2020
- Certification date
- Aug 3, 2026
- Last updated
- Aug 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0200X | Internal Medicine, Infectious Disease | A188042 | CA | Yes |
Practice location
1245 16th St Ste 307Santa Monica, CA 90404-1239
Phone 310-481-4242
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone 310-301-8707
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