Individual
MARK H. SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
631 E GRAND AVE, ESCONDIDO, CA 92025-4402
(760) 294-1660
(760) 745-5016
Mailing address
4225 EXECUTIVE SQ STE 450, LA JOLLA, CA 92037-8411
(858) 810-0000
(858) 268-1911
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G65280
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GP075Z
PTAN
CA
Enumeration date
04/19/2006
Last updated
02/02/2021
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