Beller, Mark
Beller, Mark is an individual health care provider with primary practice located at 1600 W Avenue J , Lancaster CA 93534-2814. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Beller, Mark can be contacted via phone (661) 949-5000.Contact Information
Primary practice address
1600 W Avenue J
Lancaster CA 93534-2814
Phone: (661) 949-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A61611 | California |
Profile Details
| NPI number | 1982660387 |
|---|---|
| LBN Legal business name | Beller, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Apr 1st, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982660387 | NPPES |
| California | MEDICAID | 00A616110 |
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