Provider Demographics
NPI:1871666776
Name:MUENSCH, VERA MARIE (MD)
Entity type:Individual
Prefix:
First Name:VERA
Middle Name:MARIE
Last Name:MUENSCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:330 E LIVE OAK AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-5617
Mailing Address - Country:US
Mailing Address - Phone:626-821-5858
Mailing Address - Fax:626-821-0858
Practice Address - Street 1:529 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90013-1511
Practice Address - Country:US
Practice Address - Phone:213-430-6700
Practice Address - Fax:213-895-6266
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2008-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC507862084A0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW2983NMedicare PIN