Cianciola, Mark

Cianciola, Mark is an individual health care provider with primary practice located at 29472 Avenida De Las Bandera , Rancho Santa Margarita CA 92688-2651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cianciola, Mark can be contacted via phone (949) 459-9968.

Contact Information

Primary practice address
29472 Avenida De Las Bandera Rancho Santa Margarita CA 92688-2651
Phone: (949) 459-9968
Fax: (949) 766-2565
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G67328 California

Profile Details

NPI number 1750371035
LBN Legal business name Cianciola, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Mar 5th, 2020 - about 5 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 1750371035 NPPES
California MEDICAID 00G673280

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