Poblete, Mark R
Poblete, Mark R is an individual health care provider with primary practice located at 15910 Ventura Blvd Suite 1502, Encino CA 91436-2802. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Poblete, Mark R can be contacted via phone (818) 728-9877.Contact Information
Primary practice address
15910 Ventura Blvd Suite 1502
Encino CA 91436-2802
Phone: (818) 728-9877
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301090752 | Michigan |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 22449 | Florida |
Profile Details
NPI number | 1205036423 |
---|---|
LBN Legal business name | Poblete, Mark R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2007 |
Last updated | Apr 3rd, 2014 - 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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