Cocalis, Mark W.
Cocalis, Mark W. is an individual health care provider with primary practice located at 505 Parnassus Ave # M-687 , San Francisco CA 94143-2204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Cocalis, Mark W. can be contacted via phone (415) 476-9181.Contact Information
Primary practice address
505 Parnassus Ave # M-687
San Francisco CA 94143-2204
Phone: (415) 476-9181
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G56243 | California |
Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | G56243 | California |
Profile Details
NPI number | 1700817913 |
---|---|
LBN Legal business name | Cocalis, Mark W. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 5th, 2006 |
Last updated | Sep 4th, 2008 - about 16 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 | 1700817913 | NPPES |
California | MEDICAID | 00G562430 |
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