Simonds, Mark Fletcher
Simonds, Mark Fletcher is an individual health care provider with primary practice located at 11333 Sepulveda Blvd , Mission Hills CA 91345-1116. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Simonds, Mark Fletcher can be contacted via phone (818) 837-5780.Contact Information
Primary practice address
11333 Sepulveda Blvd
Mission Hills CA 91345-1116
Phone: (818) 837-5780
Fax: (818) 837-5609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 0101230975 | Virginia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A51692 | California |
Profile Details
| NPI number | 1124244991 |
|---|---|
| LBN Legal business name | Simonds, Mark Fletcher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2007 |
| Last updated | Apr 2nd, 2014 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124244991 | NPPES |
| California | MEDICAID | 00A516920 | |
| California | Other | 192690 | |
| California | Other | 172752 | |
| California | Other | 192688 |
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