Individual
DR. MARK DANIEL MAMLOUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6579
Mailing address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-6579
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A108958
CA
Other
Enumeration date
06/16/2008
Last updated
02/11/2022
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