# MARK KISLINGER M.D., INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Foothill Eye Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215089594
- **Authorized official:** MONICA SIVELLE (OPERATIONS MANAGER)
- **Authorized official phone:** (626) 335-0535

## Contact information

- **Practice address:** 210 S GRAND AVE, SUITE 106, GLENDORA, CA 91741
- **Practice address phone:** (626) 335-0535
- **Practice address fax:** (626) 914-7664
- **Mailing address:** 210 S GRAND AVE, SUITE 106, GLENDORA, CA 91741-4205
- **Mailing address phone:** (626) 335-0535
- **Mailing address fax:** (626) 914-7664

## Taxonomy

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

## Other

- **Enumeration date:** 01/17/2007
- **Last updated:** 02/12/2019