Mark W Deseran in Lynwood - Diagnostic Radiology
Mark W Deseran - NPI 1730126467
Mark W Deseran is a Diagnostic Radiology in Lynwood, California. Mark W Deseran practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Mark W Deseran is 1730126467. The last update date is 2011-04-15.
Mark W Deseran's current location address is 3630 E. Imperial Hwy, Lynwood, California. You can contact this provider via phone number 3109002768. The mailing address for Mark W Deseran is 3630 E. Imperial Hwy, Lynwood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W Deseran |
|---|---|
| Address | 3630 E. Imperial Hwy, Lynwood, California |
| Phone Number | 3109002768 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1730126467 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2011-04-15 |
Provider Mailing Address Detail
| Address | 3630 E. Imperial Hwy |
|---|---|
| City | Lynwood |
| State | California (CA) |
| Post Code | 90262 |
| Phone Number | 3109002768 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | G67376 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G673760 | CA | BLUE SHIELD OF CA | |
| 00G673760 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark W Deseran by the Centers for Medicare & Medicaid Services?
The Mark W Deseran has been assigned the NPI (National Provider Identifier) 1730126467 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Mark W Deseran is physically located?
The Mark W Deseran is physically situated at the following address: 3630 E. Imperial Hwy, Lynwood, CA, 90262.
What is the area of specialization for Mark W Deseran, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark W Deseran is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
On what date was the 1730126467 assigned to Mark W Deseran?
The Mark W Deseran was issued its 1730126467 on 2006-06-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Mark W Deseran's information last updated?
The Mark W Deseran's information was last updated on 2011-04-15.