Dubin, Mark

Dubin, Mark is an individual health care provider with primary practice located at 11500 Brookshire Ave , Downey CA 90241-4917. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Dubin, Mark can be contacted via phone (562) 904-5000.

Contact Information

Primary practice address
11500 Brookshire Ave Downey CA 90241-4917
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G67625 California

Profile Details

NPI number 1700843240
LBN Legal business name Dubin, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Aug 16th, 2007 - about 17 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 1700843240 NPPES
California MEDICAID 00G676250

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