Mark E. Eastham, M.D.

LBN: Mark E. Eastham, M.D.
Mark E. Eastham, M.D. is an health care organization with primary practice located at 2505 Samaritan Dr Suite 508, San Jose CA 95124-4006. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Mark E. Eastham, M.D. can be contacted via phone (408) 241-2968, or through Eastham, Mark E. via phone (408) 241-2968.

Contact Information

Primary practice address
2505 Samaritan Dr Suite 508 San Jose CA 95124-4006
Phone: (408) 241-2968
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Eastham, Mark E.
Phone: (408) 241-2968

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X G65379 California

Profile Details

NPI number 1669686747
LBN Legal business name Mark E. Eastham, M.D.
DBA Doing business as
Authorized official Eastham, Mark E.
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669686747 NPPES
California MEDICAID 00G653790

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