| Mark E Adlard Rancho Santa Margarita Family Medical Center | |
|
22342 Avenida Empresa Ste 195 Mark E Adlard Md Rancho Santa Margarita Family Me Rancho Santa Margarita CA 92688-2140 | |
| (949) 858-7001 | |
| (949) 858-3826 |
| Full Name | Mark E Adlard Rancho Santa Margarita Family Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 22342 Avenida Empresa Ste 195, Rancho Santa Margarita, California |
| Authorized Official Name and Position | Mark A Adlard (OWNER) |
| Authorized Official Contact | 9498587001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark E Adlard Rancho Santa Margarita Family Medical Center 22342 Avenida Empresa Ste 195 Mark E Adlard Md Rancho Santa Margarita Family Me Rancho Santa Margarita CA 92688-2140 Ph: (949) 858-7001 | Mark E Adlard Rancho Santa Margarita Family Medical Center 22342 Avenida Empresa Ste 195 Mark E Adlard Md Rancho Santa Margarita Family Me Rancho Santa Margarita CA 92688-2140 Ph: (949) 858-7001 |
| NPI Number | 1164553293 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 10/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164553293 | NPI | - | NPPES |
| G64159 | Other | CA | CA MEDICAL LICENSE # |
| ZZZ35743Z | Other | CA | BLUE SHIELD PROVIDER # |
| G64159 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G64159 (California) | Primary |
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