Individual
MARK LABRIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3000 Q ST, SACRAMENTO, CA 95816-7058
(916) 733-3333
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G63458
CA
208M00000X
Hospitalist Physician
Primary
G63458
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000810354347
PHCS
CA
01
—
009456
HEALTH NET
CA
01
—
1072765
FIRST HEALTH
CA
01
—
10807
INTERPLAN
CA
01
—
1089901
GREAT WEST
CA
01
—
3277645
CIGNA
CA
01
—
4509033
AETNA
CA
01
—
5707274
FIRST HEALTH
CA
01
—
768487
UNITED HEALTHCARE
CA
01
—
90026126
PACIFICARE
CA
01
—
G63458
BLUE CROSS
CA
01
—
MCMG385600
WESTERN HEALTH ADVANTAGE
CA
Enumeration date
09/20/2006
Last updated
02/10/2012
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