Stein, Mark Geoffery

Stein, Mark Geoffery is an individual health care provider with primary practice located at 1100 N Tustin Ave Bldg. A, Santa Ana CA 92705-3509. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Stein, Mark Geoffery can be contacted via phone (714) 835-6055.

Contact Information

Primary practice address
1100 N Tustin Ave Bldg. A Santa Ana CA 92705-3509
Phone: (714) 835-6055
Fax: (714) 285-9084
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X A38805 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A38805 California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X A38805 California

Profile Details

NPI number 1265478564
LBN Legal business name Stein, Mark Geoffery
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jun 16th, 2015 - about 9 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 1265478564 NPPES
California MEDICAID 00A388050

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