Individual
MARK T. MUNEKATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21840 NORMANDIE AVE, STE. 700, TORRANCE, CA 90502-2047
(310) 222-5101
(310) 320-5463
Mailing address
21840 NORMANDIE AVE, STE. 700, TORRANCE, CA 90502-2047
(310) 222-5101
(310) 320-5463
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A54675
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A546750
—
CO
Enumeration date
07/10/2006
Last updated
07/09/2007
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