Mark J Popovich in Los Altos - Diagnostic Ultrasound
Mark J Popovich - NPI 1245320704
Mark J Popovich is a Diagnostic Ultrasound in Los Altos, California. Mark J Popovich practices all healthcare services and medical treatments related to Diagnostic Ultrasound. The NPI Number for Mark J Popovich is 1245320704. The last update date is 2019-08-26.
Mark J Popovich's current location address is 325 Distel Cir, Los Altos, California. You can contact this provider via phone number 7075214480 and fax number 7075214460. The mailing address for Mark J Popovich is 325 Distel Cir, Los Altos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J Popovich |
|---|---|
| Address | 325 Distel Cir, Los Altos, California |
| Phone Number | 7075214480 |
| Fax Number | 7075214460 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1245320704 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2019-08-26 |
Provider Mailing Address Detail
| Address | 325 Distel Cir |
|---|---|
| City | Los Altos |
| State | California (CA) |
| Post Code | 940221408 |
| Phone Number | 7075214480 |
| Fax Number | 7075214460 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Ultrasound |
|---|---|
| Taxonomy | 2085U0001X |
| Licence No | G57995 |
|
Definition: A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G579950 | CA | -- | |
| 473423 | CA | AMERICAN BOARD OF RADIOLOGY | |
| G57995 | CA | STATE MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark J Popovich by the Centers for Medicare & Medicaid Services?
The Mark J Popovich has been issued the NPI (National Provider Identifier) 1245320704, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark J Popovich's facilities are geographically located?
The facilities of Mark J Popovich are physically situated at the following location: 325 Distel Cir, Los Altos, CA, 940221408.
What is the Mark J Popovich's area of specialization and corresponding taxonomy classification?
The Mark J Popovich's specialty field is Diagnostic Ultrasound, and it falls under the taxonomy code 2085U0001X, which categorizes healthcare providers based on their specialties.
On what date did Mark J Popovich receive its 1245320704 assignment from the Centers for Medicare & Medicaid Services?
The Mark J Popovich was assigned its 1245320704 on 2006-10-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mark J Popovich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark J Popovich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-08-26.
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