Mark, Leslie Alison

Mark, Leslie Alison is an individual health care provider with primary practice located at 5222 Balboa Ave Sixth Floor, San Diego CA 92117-6904. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Mark, Leslie Alison can be contacted via phone (858) 292-0204.

Contact Information

Primary practice address
5222 Balboa Ave Sixth Floor San Diego CA 92117-6904
Phone: (858) 292-0204
Fax: (858) 292-0514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G36164 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X G36164 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G36164 California

Profile Details

NPI number 1073552238
LBN Legal business name Mark, Leslie Alison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated May 5th, 2008 - 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 1073552238 NPPES
California MEDICAID 00G361640
California Other G36164

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