Individual
MARK C BOCCHICCHIO
Active
Individual
MARK C BOCCHICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACC
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A63687
CA
207RI0011X
Interventional Cardiology Physician
Primary
A63687
CA
207RI0011X
Interventional Cardiology Physician
MD2026-0717
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A6368700
—
CA
01
—
P00187560
RR MEDI-CARE
CA
01
—
ZZZ28458Z
BLUE SHIELD
CA
Enumeration date
03/27/2006
Last updated
08/26/2026
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