Mark Mcdonald Md, Inc. | |
23700 Camino Del Sol Torrance CA 90505-5017 | |
(310) 530-1151 | |
Not Available |
Full Name | Mark Mcdonald Md, Inc. |
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Speciality | Psychiatry & Neurology |
Location | 23700 Camino Del Sol, Torrance, California |
Authorized Official Name and Position | Mark Mcdonald (SOLE OWNER) |
Authorized Official Contact | 4244007748 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mark Mcdonald Md, Inc. Po Box 4570 Palos Verdes Peninsula CA 90274-9607 Ph: (424) 400-7748 | Mark Mcdonald Md, Inc. 23700 Camino Del Sol Torrance CA 90505-5017 Ph: (310) 530-1151 |
NPI Number | 1992137814 |
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Provider Enumeration Date | 08/01/2013 |
Last Update Date | 09/11/2014 |
Medicare PECOS PAC ID | 0941437248 |
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Medicare Enrollment ID | O20131212000260 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992137814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | A112267 (California) | Primary |
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