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Organization
MARK KUMAMOTO MD A PROFESSIONAL CORP
Active
Organization
MARK KUMAMOTO MD A PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KUMAMOTO M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
361 HOSPITAL RD, SUITE 124, NEWPORT BEACH, CA 92663-3522
(949) 631-0988
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(714) 347-1012
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A37007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A370070
—
CA
Enumeration date
11/03/2006
Last updated
06/10/2013
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