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Organization
MARK S. AUSTERLITZ, M.D., A MEDICAL CORPORATION
Active
Organization
MARK S. AUSTERLITZ, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S. AUSTERLITZ M.D. (PRESIDENT)
(858) 277-9000
Entity
Organization
Contact information
Practice address
7485 MISSION VALLEY RD, SUITE 103, SAN DIEGO, CA 92108-4422
(858) 277-9000
(858) 819-7101
Mailing address
7485 MISSION VALLEY RD, SUITE 103, SAN DIEGO, CA 92108-4422
(858) 277-9000
(858) 819-7101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G33220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G332200
BLUE SHIELD
CA
Enumeration date
02/28/2007
Last updated
08/22/2020
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