# MARK HADDAD

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

## Provider details

- **NPI number:** 1750824694
- **Authorized official:** MARK HADDAD (CONSULTANT PHARMACIST)
- **Authorized official phone:** (714) 329-4229

## Contact information

- **Practice address:** 7 NIGHT BLOOM, IRVINE, CA 92602-2472
- **Practice address phone:** (714) 329-4229
- **Mailing address:** 7 NIGHT BLOOM, IRVINE, CA 92602-2472
- **Mailing address phone:** (714) 329-4229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 35469 | CA | Yes |

## Other

- **Enumeration date:** 11/27/2016
- **Last updated:** 11/27/2016