# MARK NACHMAN MD A PROFFESIONAL CORPORATION

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

## Provider details

- **NPI number:** 1457663882
- **Authorized official:** DR. MARK NACHMAN M.D. (PHYSICIAN)
- **Authorized official phone:** (310) 315-0111

## Contact information

- **Practice address:** 1301 20TH ST, SUITE 290, SANTA MONICA, CA 90404-2050
- **Practice address phone:** (310) 315-0111
- **Practice address fax:** (310) 315-0110
- **Mailing address:** 1301 20TH ST, SUITE 290, SANTA MONICA, CA 90404-2050
- **Mailing address phone:** (310) 315-0111
- **Mailing address fax:** (310) 315-0110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | G27424 | CA | Yes |

## Other

- **Enumeration date:** 07/14/2010
- **Last updated:** 08/16/2010