Organization
MARK PAYA MD GENERAL SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PAYA M.D. (PRESIDENT)
(951) 278-5590
Entity
Organization
Contact information
Practice address
7320 WOODLAKE AVE, SUITE 170, WEST HILLS, CA 91307-1468
(951) 278-5590
(951) 272-9924
Mailing address
7320 WOODLAKE AVE, SUITE 170, WEST HILLS, CA 91307-1468
(951) 278-5590
(951) 272-9924
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A77354
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A77354
STATE LICENSE
CA
Enumeration date
08/02/2010
Last updated
08/02/2010
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