Mark J Kelly Md, Inc

LBN: Mark J Kelly Md, Inc
Mark J Kelly Md, Inc is an health care organization with primary practice located at 2001 Santa Monica Blvd Suite 590W, Santa Monica CA 90404-2102. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Mark J Kelly Md, Inc can be contacted via phone (310) 829-0039, or through Kelly, Mark via phone (310) 829-0039.

Contact Information

Primary practice address
2001 Santa Monica Blvd Suite 590W Santa Monica CA 90404-2102
Phone: (310) 829-0039
Fax: (310) 828-1791
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Mark Doctor of Medicine (MD)
Phone: (310) 829-0039

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G55252 California

Profile Details

NPI number 1598827826
LBN Legal business name Mark J Kelly Md, Inc
DBA Doing business as
Authorized official Kelly, Mark Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2006
Last updated Sep 26th, 2008 - about 17 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.

Request for update

Popular Providers