Organization
MARK S STERN M D A PROFESSIONAL CORPORATION
Active
Other names
Southern California Institute of Neurological surgery
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VAUGHAN (OFFICE MANAGER)
(760) 489-9490
Entity
Organization
Contact information
Practice address
705 E OHIO AVE, ESCONDIDO, CA 92025-3418
(760) 489-9490
(760) 489-7638
Mailing address
705 E OHIO AVE, ESCONDIDO, CA 92025-3418
(760) 489-9490
(760) 489-7638
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G47596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649282765
INDIVIDUAL NPI
CA
Enumeration date
03/22/2007
Last updated
12/07/2011
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