# MARK A. BRONSTEIN, M.D., INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124201033
- **Authorized official:** DR. MARK A BRONSTEIN M.D. (PRESIDENT)
- **Authorized official phone:** (714) 751-1188

## Contact information

- **Practice address:** 11180 WARNER AVE STE 163, FOUNTAIN VALLEY, CA 92708-7515
- **Practice address phone:** (714) 751-1188
- **Practice address fax:** (714) 751-2403
- **Mailing address:** 11180 WARNER AVE STE 163, FOUNTAIN VALLEY, CA 92708-7515
- **Mailing address phone:** (714) 751-1188
- **Mailing address fax:** (714) 751-2403

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2007
- **Last updated:** 12/13/2007