Urata, Mark Masaru

Urata, Mark Masaru is an individual health care provider with primary practice located at 4650 W Sunset Blvd , Los Angeles CA 90027-6062. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Urata, Mark Masaru can be contacted via phone (888) 631-2452.

Contact Information

Primary practice address
4650 W Sunset Blvd Los Angeles CA 90027-6062
Fax: (323) 361-8988
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X A64497 California

Profile Details

NPI number 1235234857
LBN Legal business name Urata, Mark Masaru
Credentials MD DDS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Dec 20th, 2018 - about 6 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 1235234857 NPPES
California MEDICAID 00A644970

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