Individual
DR. MARK DAVID OSTERLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1420 OCOTILLO DRIVE STE. D, EL CENTRO, CA 92243-4213
(541) 343-5000
(541) 344-9478
Mailing address
100 E CALIFORNIA BLVD, PASADENA, CA 91105
(626) 568-8838
(626) 583-8838
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
22712
AZ
207W00000X
Ophthalmology Physician
35.048333
OH
207W00000X
Ophthalmology Physician
Primary
G57210
CA
207W00000X
Ophthalmology Physician
MD150106
OR
Other
Enumeration date
01/13/2009
Last updated
06/20/2014
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