Pomerantz, Mark Ford

Pomerantz, Mark Ford is an individual health care provider with primary practice located at 2271 S. Depot Street , Santa Maria CA 93455. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Pomerantz, Mark Ford can be contacted via phone (805) 922-0561.

Contact Information

Primary practice address
2271 S. Depot Street Santa Maria CA 93455
Phone: (805) 922-0561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X G48284 California

Profile Details

NPI number 1245327840
LBN Legal business name Pomerantz, Mark Ford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jan 8th, 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 1245327840 NPPES
California Other 00G482840 BLUE SHIELD

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