Individual
DR. MARK STEVEN SKLANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 669-2461
(323) 669-1513
Mailing address
10833 LE CONTE AVE, ROOM B2-427 MDCC, LOS ANGELES, CA 90095-3075
(310) 825-5296
(310) 825-9524
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
G63730
CA
2080P0202X
Pediatric Cardiology Physician
G63760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G637600
—
CA
Enumeration date
09/06/2006
Last updated
08/08/2011
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