| Mark R Winkler Md Pa Professional Corporation | |
|
14366 Shawnee St Moorpark CA 93021-3569 | |
| (818) 882-5375 | |
| Not Available |
| Full Name | Mark R Winkler Md Pa Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 14366 Shawnee St, Moorpark, California |
| Authorized Official Name and Position | Mark Winkler (PRESIDENT) |
| Authorized Official Contact | 8188825375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Winkler Md Pa Professional Corporation 14366 Shawnee St Moorpark CA 93021-3569 Ph: (818) 882-5375 | Mark R Winkler Md Pa Professional Corporation 14366 Shawnee St Moorpark CA 93021-3569 Ph: (818) 882-5375 |
| NPI Number | 1336366202 |
|---|---|
| Provider Enumeration Date | 04/20/2007 |
| Last Update Date | 03/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336366202 | NPI | - | NPPES |
| 00G77560 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G67756 (California) | Primary |
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