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Mary K Igo

  • Female

Medical Specialty

Professional ID

  • NPI: 1124210653
  • PECOS ID: 1355420365
  • Enrollment ID: I20080501000676
  • Credential(MD, DO, DPM):
  • Medical School: University Of Utah School Of Medicine
  • Medical School Graduation Year: 1988

Medical Practices

  • Organization Name: Southern California Permanente Medical Group
  • Group Practice ID assigned by PECOS: 6002729175
  • Number of Group Practice member: 8102

Location

Location

  • Address1: 18040 Sherman Way
  • Address2:
  • City: Reseda
  • State: California
  • Zip Code: 91335
  • Phone Number: (818)758-1200

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):