Mary K Igo
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):