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Organization
GUSTAVO MARKS, MD INC
Active
Organization
GUSTAVO MARKS, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO MARKS MD (OWNER)
(818) 999-5900
Entity
Organization
Contact information
Practice address
22030 SHERMAN WAY #318, CANOGA PARK, CA 91303-1886
(818) 999-5900
(818) 999-5901
Mailing address
PO BOX 27206, LOS ANGELES, CA 90027-0206
(213) 385-0675
(213) 365-6429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A54483
CA
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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