Individual
MARK DUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11500 BROOKSHIRE AVE, DOWNEY, CA 90241-4917
(562) 904-5000
Mailing address
PO BOX 190, SIMI VALLEY, CA 93062-0190
(805) 522-5940
(805) 522-6401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G67625
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G676250
—
CA
Enumeration date
04/27/2006
Last updated
08/16/2007
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