Kumamoto, Mark M

Kumamoto, Mark M is an individual health care provider with primary practice located at 17100 Euclid St , Fountain Valley CA 92708-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kumamoto, Mark M can be contacted via phone (800) 883-7243.

Contact Information

Primary practice address
17100 Euclid St Fountain Valley CA 92708-4004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X A37007 California

Profile Details

NPI number 1255393518
LBN Legal business name Kumamoto, Mark M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Aug 4th, 2011 - about 13 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 1255393518 NPPES
California MEDICAID 00A370070

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