Susan Deborah Mark in Santa Ana - Pediatrics
Susan Deborah Mark - NPI 1922045772
Susan Deborah Mark is a Pediatrics in Santa Ana, California. Susan Deborah Mark practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Susan Deborah Mark is 1922045772. The last update date is 2007-07-08.
Susan Deborah Mark's current location address is 200 W Santa Ana Blvd, Santa Ana, California. You can contact this provider via phone number 7146470300. The mailing address for Susan Deborah Mark is 200 W Santa Ana Blvd, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Deborah Mark |
|---|---|
| Address | 200 W Santa Ana Blvd, Santa Ana, California |
| Phone Number | 7146470300 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1922045772 |
|---|---|
| Provider Enumeration Date | 2006-06-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 W Santa Ana Blvd |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927014134 |
| Phone Number | 7146470300 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | OT 903 |
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What is the unique identifier code issued to Susan Deborah Mark by the Centers for Medicare & Medicaid Services?
The Susan Deborah Mark has been assigned the NPI (National Provider Identifier) 1922045772. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Susan Deborah Mark?
The Susan Deborah Mark is situated at 200 W Santa Ana Blvd, in the city of Santa Ana, state of CA, with the zip code 927014134.
What is the Susan Deborah Mark's area of specialization and corresponding taxonomy classification?
The Susan Deborah Mark's specialty field is Pediatrics, and it falls under the taxonomy code 225Xp0200X, which categorizes healthcare providers based on their specialties.
On what date did the Susan Deborah Mark receive its 1922045772 assignment from the Centers for Medicare & Medicaid Services?
The Susan Deborah Mark was assigned its 1922045772 by the Centers for Medicare & Medicaid Services on 2006-06-01.
As of what date were the Susan Deborah Mark's details last updated?
The information pertaining to the Susan Deborah Mark, including its address, specialty, and other details, was most recently updated on 2007-07-08.