Search › California › 207XX0005X
Marissa Mastrocola
NPI 1790245884 · on the registry since 2019
Practice
- Address
- 450 Broadway St # Mc6342
Redwood City, CA 94063 - Phone
- (650) 721-1836
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207XX0005X
207XX0005X
- Also registered as
- 390200000X
- Licence states on file
- CA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California