Myron C Mariano
Medical Specialty
Professional ID
- NPI: 1457332975
- PECOS ID: 7113099987
- Enrollment ID: I20081120000918
- Credential(MD, DO, DPM):
- Medical School: Loma Linda University School Of Medicine
- Medical School Graduation Year: 1992
Hospital Service
- Hospital CCN1: 050597
- Business Name (LBN)1: Foothill Presbyterian Hospital
- Hospital CCN2: 050382
- Business Name (LBN)2: Citrus Valley Medical Center-ic Campus
- Hospital CCN3: 050588
- Business Name (LBN)3: San Dimas Community Hospital
Medical Practices
- Organization Name: Premiere Surgical Specialists, Apc
- Group Practice ID assigned by PECOS: 4688807548
- Number of Group Practice member: 3
Location
- Address1: 1044 S Fair Oaks Ave
- Address2: Suite 101
- City: Pasadena
- State: California
- Zip Code: 91105
- Phone Number: (626)449-4859
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):