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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891976189 | NPPES |
| California | MEDICAID | 00A388990 |
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