Individual
MARK HAAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8700 BEVERLY BLVD, LOS ANGELES, CA 90048-1804
(818) 338-8103
(818) 338-8119
Mailing address
31255 CEDAR VALLEY DR, STE 324, WESTLAKE VILLAGE, CA 91362-7129
(818) 338-8103
(818) 338-8119
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D55055
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
457100200
—
MD
Enumeration date
05/09/2006
Last updated
09/24/2009
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