Vaisman, Mark

Vaisman, Mark is an individual health care provider with primary practice located at 12660 Riverside Dr Ste 310, North Hollywood CA 91607-3429. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Vaisman, Mark can be contacted via phone (818) 755-0391.

Contact Information

Primary practice address
12660 Riverside Dr Ste 310 North Hollywood CA 91607-3429
Phone: (818) 755-0391
Fax: (818) 753-8165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A38899 California
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X A38899 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A38899 California
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X A38899 California
Allopathic & Osteopathic Physicians / General Practice 208D00000X A38899 California

Profile Details

NPI number 1891976189
LBN Legal business name Vaisman, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2007
Last updated Feb 8th, 2013 - about 11 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 1891976189 NPPES
California MEDICAID 00A388990

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