Mark R Poblete, MD | |
15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | |
(818) 728-9877 | |
Not Available |
Full Name | Mark R Poblete |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 15910 Ventura Blvd, Encino, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205036423 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 4301090752 (Michigan) | Secondary |
207L00000X | Anesthesiology | 22449 (Florida) | Primary |
Entity Name | Allied Anesthesia Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346267267 PECOS PAC ID: 6103728407 Enrollment ID: O20040126001001 |
Entity Name | Innovative Anesthesia Consultants Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154815264 PECOS PAC ID: 3678823176 Enrollment ID: O20180904002744 |
Entity Name | Sound Physicians Anesthesiology Of California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699408229 PECOS PAC ID: 4385027770 Enrollment ID: O20220817003296 |
Mailing Address | Practice Location Address |
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Mark R Poblete, MD 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 Ph: (818) 728-9877 | Mark R Poblete, MD 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 Ph: (818) 728-9877 |
Naguib Khan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16501 Ventura Blvd, Ste.#103, Encino, CA 91436 Phone: 818-501-1080 Fax: 818-715-1722 | |
Dr. Peggy Shen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Paul Konikoff, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16055 Ventura Blvd, Ste.# 120, Encino, CA 91436 Phone: 818-789-9988 Fax: 818-715-1722 | |
Dr. Austin Brendlen Harris, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Dr. Brian Shih, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 17525 Ventura Blvd Ste 203, Encino, CA 91316 Phone: 818-986-0200 Fax: 818-986-4393 | |
Dr. Teresita F Matsunaga, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Joseph Thomas Nitti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16237 Ventura Blvd, Encino, CA 91436 Phone: 310-440-3131 |