Individual
MARK PETER SAWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11301 WILSHIRE BLVD, W112, LOS ANGELES, CA 90073-1003
(310) 268-3298
Mailing address
11301 WILSHIRE BLVD, W112, LOS ANGELES, CA 90073
(310) 268-3298
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G65689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G656890
MEDICAL PPIN #
CA
Enumeration date
07/25/2006
Last updated
07/12/2007
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