Ghilarducci, Mark John
Ghilarducci, Mark John is an individual health care provider with primary practice located at 2221 Wankel Way , Oxnard CA 93030-0192. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Ghilarducci, Mark John can be contacted via phone (805) 988-9366.Contact Information
Primary practice address
2221 Wankel Way
Oxnard CA 93030-0192
Phone: (805) 988-9366
Fax: (805) 483-3747
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | G59002 | California |
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | G59002 | California |
Profile Details
NPI number | 1922063700 |
---|---|
LBN Legal business name | Ghilarducci, Mark John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 18th, 2006 |
Last updated | Oct 1st, 2022 - about 3 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 | 1922063700 | NPPES |
California | Other | G59002 | STATE LICENSE |
California | Other | E65590 | STATE LICENSE |
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