Wendell Mark Street in Corona - Pain Medicine
Wendell Mark Street - NPI 1437240314
Wendell Mark Street is a Pain Medicine in Corona, California. Wendell Mark Street practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Wendell Mark Street is 1437240314. The last update date is 2013-07-26.
Wendell Mark Street's current location address is 109 E 11th St, Corona, California. You can contact this provider via phone number 9512731000 and fax number 9512731090. The mailing address for Wendell Mark Street is 109 E 11th St, Corona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendell Mark Street |
|---|---|
| Address | 109 E 11th St, Corona, California |
| Phone Number | 9512731000 |
| Fax Number | 9512731090 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1437240314 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2013-07-26 |
Provider Mailing Address Detail
| Address | 109 E 11th St |
|---|---|
| City | Corona |
| State | California (CA) |
| Post Code | 928792157 |
| Phone Number | 9512731000 |
| Fax Number | 9512731090 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | A43837 |
|
Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 330619189 | CA | FEDERAL TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Wendell Mark Street by the Centers for Medicare & Medicaid Services?
The Wendell Mark Street has been assigned the NPI (National Provider Identifier) 1437240314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Wendell Mark Street is geographically located?
The Wendell Mark Street is physically situated at the following location: 109 E 11Th St, Corona, CA, 928792157.
What is the area of specialization for Wendell Mark Street, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wendell Mark Street is Pain Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Lp2900X.
On what date was the 1437240314 assigned to Wendell Mark Street?
The Wendell Mark Street was issued its 1437240314 on 2006-09-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Wendell Mark Street's information last updated?
The Wendell Mark Street's information was last updated on 2013-07-26.
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