Individual
MARK S HUMAYUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 SAN PABLO ST, SUITE 4000, LOS ANGELES, CA 90033-4668
(323) 442-6311
(323) 442-7166
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-7152
(323) 442-7166
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A52637
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A526370
BLUE SHIELD
CA
Enumeration date
12/15/2006
Last updated
11/27/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us