Mark Drew Pellegrino in Anaheim - Geriatric Medicine
Mark Drew Pellegrino - NPI 1124176912
Mark Drew Pellegrino is a Geriatric Medicine in Anaheim, California. Mark Drew Pellegrino practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Mark Drew Pellegrino is 1124176912. The last update date is 2021-11-29.
Mark Drew Pellegrino's current location address is 441 N Lakeview Ave, Anaheim, California. You can contact this provider via phone number 8889882800. The mailing address for Mark Drew Pellegrino is 441 N Lakeview Ave, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Drew Pellegrino |
|---|---|
| Address | 441 N Lakeview Ave, Anaheim, California |
| Phone Number | 8889882800 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1124176912 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2021-11-29 |
Provider Mailing Address Detail
| Address | 441 N Lakeview Ave |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928073028 |
| Phone Number | 8889882800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | G69878 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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What is the unique provider identifier assigned to Mark Drew Pellegrino?
The Mark Drew Pellegrino has been issued the NPI (National Provider Identifier) 1124176912 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark Drew Pellegrino's facilities are situated?
The facilities of Mark Drew Pellegrino are physically located at the following address: 441 N Lakeview Ave, Anaheim, CA, 928073028.
What is Mark Drew Pellegrino's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark Drew Pellegrino is Geriatric Medicine, and the corresponding taxonomy classification code for this specialized field is 207Qg0300X.
On what date did the Mark Drew Pellegrino receive the assignment of its 1124176912 from the Centers for Medicare & Medicaid Services?
The Mark Drew Pellegrino was issued its 1124176912 by the Centers for Medicare & Medicaid Services on 2007-01-08.
When was the information related to Mark Drew Pellegrino most recently updated or refreshed?
The details pertaining to the Mark Drew Pellegrino, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-11-29.