Leslie Alison Mark in San Diego - Procedural Dermatology
Leslie Alison Mark - NPI 1073552238
Leslie Alison Mark is a Procedural Dermatology in San Diego, California. Leslie Alison Mark practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Leslie Alison Mark is 1073552238. The last update date is 2008-05-05.
Leslie Alison Mark's current location address is 5222 Balboa Ave, San Diego, California. You can contact this provider via phone number 8582920204 and fax number 8582920514. The mailing address for Leslie Alison Mark is 5222 Balboa Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leslie Alison Mark |
|---|---|
| Address | 5222 Balboa Ave, San Diego, California |
| Phone Number | 8582920204 |
| Fax Number | 8582920514 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073552238 |
|---|---|
| Provider Enumeration Date | 2006-06-05 |
| Last Updated Date | 2008-05-05 |
Provider Mailing Address Detail
| Address | 5222 Balboa Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921176904 |
| Phone Number | 8582920204 |
| Fax Number | 8582920514 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | G36164 |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G361640 | CA | -- | |
| G36164 | CA | CA STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Leslie Alison Mark by the Centers for Medicare & Medicaid Services?
The Leslie Alison Mark has been assigned the NPI (National Provider Identifier) 1073552238 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Leslie Alison Mark located?
The Leslie Alison Mark is located at 5222 Balboa Ave, San Diego, CA 921176904.
What is Leslie Alison Mark's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Leslie Alison Mark is Procedural Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207Ns0135X.
On what date did the Centers for Medicare & Medicaid Services issue the 1073552238 to Leslie Alison Mark?
The Leslie Alison Mark received its 1073552238 assignment from the Centers for Medicare & Medicaid Services on 2006-06-05.
As of what date was the information pertaining to Leslie Alison Mark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Leslie Alison Mark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-05.