| Mark Jude Tramo Md Apc | |
|
555 Marin St Ste 200 Thousand Oaks CA 91360-4105 | |
| (805) 495-6702 | |
| (805) 495-6195 |
| Full Name | Mark Jude Tramo Md Apc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 555 Marin St Ste 200, Thousand Oaks, California |
| Authorized Official Name and Position | Mark J Tramo (OWNER) |
| Authorized Official Contact | 8054956702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Jude Tramo Md Apc 2220 Lynn Rd Ste 303 Thousand Oaks CA 91360-8003 Ph: (805) 495-6702 | Mark Jude Tramo Md Apc 555 Marin St Ste 200 Thousand Oaks CA 91360-4105 Ph: (805) 495-6702 |
| NPI Number | 1033432273 |
|---|---|
| Provider Enumeration Date | 03/02/2010 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Medicare PECOS PAC ID | 0446383095 |
|---|---|
| Medicare Enrollment ID | O20100803000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033432273 | NPI | - | NPPES |
| G88591 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0008X | Psychiatry & Neurology - Neuromuscular Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark J Tramo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1447232731 PECOS PAC ID: 5597704742 Enrollment ID: I20100204000383 |
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