Organization
MARK KISLINGER M.D., INC.
Active
Other names
Foothill Eye Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA SIVELLE (OPERATIONS MANAGER)
(626) 335-0535
Entity
Organization
Contact information
Practice address
210 S GRAND AVE, SUITE 106, GLENDORA, CA 91741
(626) 335-0535
(626) 914-7664
Mailing address
210 S GRAND AVE, SUITE 106, GLENDORA, CA 91741-4205
(626) 335-0535
(626) 914-7664
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A409621
—
CA
Enumeration date
01/17/2007
Last updated
02/12/2019
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