Marks, Gail

Marks, Gail is an individual health care provider with primary practice located at 350 E Vanderbilt Way Ste B, San Bernardino CA 92408. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Marks, Gail can be contacted via phone (909) 886-1001.

Contact Information

Primary practice address
350 E Vanderbilt Way Ste B San Bernardino CA 92408
Phone: (909) 886-1001
Fax: (909) 886-1107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G45659 California

Profile Details

NPI number 1700813698
LBN Legal business name Marks, Gail
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Mar 15th, 2019 - about 5 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 1700813698 NPPES
California Other 00G456590 MEDI CAL
California MEDICAID 00G456590 MEDI CAL
California Other P01282954/DU4034 MEDI CAL

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