Individual
DR. MARK DAVID KAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
953 CLEAR SKY PL, SIMI VALLEY, CA 93065-8332
(805) 526-3621
(805) 526-3621
Mailing address
953 CLEAR SKY PL, SIMI VALLEY, CA 93065-8332
(805) 526-3621
(805) 526-3621
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G50792
CA
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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