Individual
JAY W MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8635 W 3RD ST, SUITE #880, LOS ANGELES, CA 90048-6101
(323) 469-4499
Mailing address
2521 MT BEACON TER, LOS ANGELES, CA 90068-2444
(323) 469-4499
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G21318
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G213181
—
CA
Enumeration date
04/20/2006
Last updated
02/04/2013
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