Individual
MARK S. AUSTERLITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7485 MISSION VALLEY RD, SUITE 103, SAN DIEGO, CA 92108-4422
(619) 819-7100
(619) 819-7101
Mailing address
7485 MISSION VALLEY RD, SUITE 103, SAN DIEGO, CA 92108-4422
(619) 819-7100
(619) 819-7101
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G33220
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G332200
BLUE SHIELD
CA
Enumeration date
01/10/2007
Last updated
07/08/2007
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