Organization
MARK H BARAK MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA CEBALLOS (MANAGEMENT)
(909) 596-5900
Entity
Organization
Contact information
Practice address
1911 FOOTHILL BLVD, LA VERNE, CA 91750-3511
(909) 596-5900
(909) 596-1655
Mailing address
1911 FOOTHILL BLVD, LA VERNE, CA 91750-3511
(909) 596-5900
(909) 596-1655
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
10/11/2025
Last updated
10/11/2025
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