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Organization

MARK R. EZEKIEL, M.D., A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK R EZEKIEL M.D. (PRESIDENT)
(310) 362-3162
Entity
Organization

Contact information

Practice address
5750 DOWNEY AVE, SUITE 306, LAKEWOOD, CA 90712-1405
(310) 362-3162
Mailing address
2711 N SEPULVEDA BLVD, #320, MANHATTAN BEACH, CA 90266-2725
(310) 362-3162

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G72866
CA

Other

Enumeration date
09/27/2007
Last updated
06/09/2009
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