# MARK R SAWUSCH MD INC

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

## Provider details

- **NPI number:** 1295842292
- **Authorized official:** DR. MARK RAYMOND SAWUSCH MD (MD)
- **Authorized official phone:** (310) 454-5521

## Contact information

- **Practice address:** 970 MONUMENT ST \#204, PACIFIC PALISADES, CA 90272
- **Practice address phone:** (310) 454-5521
- **Practice address fax:** (310) 454-1199
- **Mailing address:** 970 MONUMENT ST \#204, PACIFIC PALISADES, CA 90272
- **Mailing address phone:** (310) 454-5521
- **Mailing address fax:** (310) 454-1199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G65646 | CA | Yes |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 08/22/2020