Organization
JOHN P ANDERSON MD RUSSELL M PERRY MD AND MARK A SHARZER MD A MED CRP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A SHARZER M.D. (AUTHORIZED OFFICIAL)
(714) 229-4060
Entity
Organization
Contact information
Practice address
3033 WEST ORANGE AVE., ANAHEIM, CA 92804
(714) 229-4060
Mailing address
PO BOX 646, STANTON, CA 90680-0646
(562) 809-3513
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0066250
—
CA
Enumeration date
08/20/2006
Last updated
06/04/2014
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