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Individual

DR. MARK STEVEN VRAHAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
444 S SAN VICENTE BLVD STE 603, LOS ANGELES, CA 90048-4178
(310) 423-5877
Mailing address
444 S SAN VICENTE BLVD STE 603, LOS ANGELES, CA 90048-4178
(310) 423-5877

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
160413
MA
207X00000X
Orthopaedic Surgery Physician
Primary
G145660
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3198651
MA
01
401688
TUFTS HEALTH PLAN
MA
01
J21515
BCBS MA
MA
Enumeration date
12/02/2005
Last updated
11/14/2016
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