Marks, Jay W

Marks, Jay W is an sole proprietor health care provider with primary practice located at 8635 W 3Rd St Suite #880, Los Angeles CA 90048-6101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Marks, Jay W can be contacted via phone (323) 469-4499.

Contact Information

Primary practice address
8635 W 3Rd St Suite #880 Los Angeles CA 90048-6101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G21318 California

Profile Details

NPI number 1003871914
LBN Legal business name Marks, Jay W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2006
Last updated Feb 4th, 2013 - about 11 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 1003871914 NPPES
California MEDICAID 00G213181

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