Individual
MARK HENARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MEDICAL DOCTOR
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 453-1324
Mailing address
1700 CESAR CHAVEZ AVENUE, SUITE #3900, LOS ANGELES, CA 90033-2414
(323) 307-0800
(323) 307-0803
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A182610
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
01/16/2024
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