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Organization
GUSTAVO MARKS
Active
Organization
GUSTAVO MARKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO MARKS M.D. (OWNER)
2138189995900
Entity
Organization
Contact information
Practice address
22201 SHERMAN WAY, CANOGA PARK, CA 91303-1048
(818) 999-5900
Mailing address
PO BOX 27206, LOS ANGELES, CA 90027-0206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A54483
CA
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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