Individual
DR. MARK J. YEAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10666 N TORREY PINES RD, LA JOLLA, CA 92037-1027
(858) 455-9100
Mailing address
FILE# 54433, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
0101243498
VA
207RC0000X
Cardiovascular Disease Physician
Primary
G44485
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073569992
—
VA
Enumeration date
05/25/2006
Last updated
01/22/2010
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