Dr Leslie Alison Mark, MD | |
5222 Balboa Ave, Sixth Floor, San Diego, CA 92117-6904 | |
(858) 292-0204 | |
(858) 292-0514 |
Full Name | Dr Leslie Alison Mark |
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Gender | Female |
Speciality | Dermatology |
Location | 5222 Balboa Ave, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073552238 | NPI | - | NPPES |
00G361640 | Medicaid | CA | |
G36164 | Other | CA | CA STATE LICENSE |
Entity Name | Skin Surgery Medical Group Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659326957 PECOS PAC ID: 4880683341 Enrollment ID: O20040510000866 |
Mailing Address | Practice Location Address |
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Dr Leslie Alison Mark, MD 5222 Balboa Ave, Sixth Floor, San Diego, CA 92117-6904 Ph: (858) 292-0204 | Dr Leslie Alison Mark, MD 5222 Balboa Ave, Sixth Floor, San Diego, CA 92117-6904 Ph: (858) 292-0204 |
Somaira Nowsheen, MD PHD Dermatology Medicare: Medicare Enrolled Practice Location: 8899 University Center Ln Ste 350, San Diego, CA 92122 Phone: 858-657-8322 | |
Dr. Stephen Erik Hemperly, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4060 Fourth Ave Ste 415, San Diego, CA 92103 Phone: 619-298-9809 Fax: 619-298-9823 | |
Dr. Ghada K Kassab, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4606 Mission Bay Dr, San Diego, CA 92109 Phone: 858-273-2726 Fax: 858-273-2725 | |
Dr. Vikas Shrivastava, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: Naval Medical Ctr, 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-251-7471 | |
Kathleen Kramer, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 196-532-6400 | |
Dr. Michelle Terez Pelle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3965 5th Ave Ste 200, San Diego, CA 92103 Phone: 619-542-0013 Fax: 619-542-0559 | |
Dr. Jamison Derek Feramisco, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8898 Navajo Rd # C-349, San Diego, CA 92119 Phone: 619-650-5476 |