# MARK RECHNIC M.D. A PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1689829301
- **Authorized official:** DR. MARK RECHNIC M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (858) 587-9970

## Contact information

- **Practice address:** 7300 GIRARD AVE, STE 204, LA JOLLA, CA 92037-5138
- **Practice address phone:** (858) 587-9970
- **Practice address fax:** (858) 587-2867
- **Mailing address:** 7300 GIRARD AVE, STE 204, LA JOLLA, CA 92037-5138
- **Mailing address phone:** (858) 587-9970
- **Mailing address fax:** (858) 587-2867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G42815 | CA | Yes |

## Other

- **Enumeration date:** 11/21/2008
- **Last updated:** 11/21/2008