Bronstein, Mark A.

Bronstein, Mark A. is an sole proprietor health care provider with primary practice located at 11180 Warner Ave #163 , Fountain Valley CA 92708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bronstein, Mark A. can be contacted via phone (714) 751-1188.

Contact Information

Primary practice address
11180 Warner Ave #163 Fountain Valley CA 92708
Phone: (714) 751-1188
Fax: (714) 751-2403
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G44667 California

Profile Details

NPI number 1750457404
LBN Legal business name Bronstein, Mark A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 27th, 2006
Last updated Feb 22nd, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750457404 NPPES
California MEDICAID 0162028

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