Santos, Mark Anthony Mayrina

Santos, Mark Anthony Mayrina is an individual health care provider with primary practice located at 5957 W Ramsey St , Banning CA 92220-3058. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Santos, Mark Anthony Mayrina can be contacted via phone (951) 845-0313.

Contact Information

Primary practice address
5957 W Ramsey St Banning CA 92220-3058
Phone: (951) 845-0313
Fax: (951) 769-1156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A100509 California

Profile Details

NPI number 1508052010
LBN Legal business name Santos, Mark Anthony Mayrina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2007
Last updated Dec 6th, 2021 - about 3 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 1508052010 NPPES
California Other CQ2267 RR MCR
California MEDICAID 1174760953 RR MCR
California MEDICAID 1508052010 RR MCR
California Other ZZZ43252Z RR MCR
California Other P00613391 RR MCR

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