Organization
MARK R SAWUSCH MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RAYMOND SAWUSCH MD (MD)
(310) 454-5521
Entity
Organization
Contact information
Practice address
970 MONUMENT ST #204, PACIFIC PALISADES, CA 90272
(310) 454-5521
(310) 454-1199
Mailing address
970 MONUMENT ST #204, PACIFIC PALISADES, CA 90272
(310) 454-5521
(310) 454-1199
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G65646
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G656461
—
CA
Enumeration date
08/24/2006
Last updated
08/22/2020
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