# MARK S. AUSTERLITZ, M.D., A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1669509477
- **Authorized official:** MARK S. AUSTERLITZ M.D. (PRESIDENT)
- **Authorized official phone:** (858) 277-9000

## Contact information

- **Practice address:** 7485 MISSION VALLEY RD, SUITE 103, SAN DIEGO, CA 92108-4422
- **Practice address phone:** (858) 277-9000
- **Practice address fax:** (858) 819-7101
- **Mailing address:** 7485 MISSION VALLEY RD, SUITE 103, SAN DIEGO, CA 92108-4422
- **Mailing address phone:** (858) 277-9000
- **Mailing address fax:** (858) 819-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | G33220 | CA | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00G332200 | BLUE SHIELD | CA |