Mark J Ault M.D.

NPI 1114923570 - Emergency Medicine - 207PE0004X

NPI Details
NPI 1114923570
Gender Male
Enumeration Date 06/21/2005
Last Updated 12/03/2010
Entity Type Individual
Active Over 12 years ago
Practice Location
LOS ANGELES CA, 90048-1804, US
Phone (310) 423-6325
Fax (310) 423-0436
Business Location
PO BOX 512717
LOS ANGELES CA, 90051-0717, US
Phone (310) 967-1884
Fax (310) 967-1774
Taxonomy Code 207PE0004X
License State California
License Number G40739
Remove 1114923570 NPI Number

According to our database, Dr. Mark J Ault M.D. NPI is 1114923570, taxonomy code is 207PE0004X and license number is G40739, license state is located at California. Mark J Ault M.D. physically located at 8700 Beverly Blvd, Los Angeles CA, 90048-1804. NPI Number Mark J Ault M.D. has the Individual type.

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1114923570 NPI number is provided on an as is basis without warranty of any kind. 1114923570 is maintained by the National Plan & Provider Enumeration System. The contents of Mark J Ault M.D. are for informational purposes only.