Mark Raymond Sawusch M.D.

NPI 1003015504 - Ophthalmology - 207W00000X

NPI Details
NPI 1003015504
Gender Male
Enumeration Date 07/13/2007
Last Updated 06/19/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
910 VIA DE LA PAZ STE 208
PACIFIC PALISADES CA, 90272-3592, US
Phone (310) 454-5521
Fax (310) 454-5521
Business Location
910 VIA DE LA PAZ
SUITE 208
PACIFIC PALISADES CA, 90272-3515, US
Phone (310) 454-5521
Fax (310) 454-1199
Toxanomy
Taxonomy Code 207W00000X
License State California
License Number G65646
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According to our database, Mark Raymond Sawusch M.D. NPI is 1003015504, taxonomy code is 207W00000X and license number is G65646, license state is located at California. Mark Raymond Sawusch M.D. physically located at 910 Via De La Paz Ste 208, Pacific Palisades CA, 90272-3592. NPI Number Mark Raymond Sawusch M.D. has the Individual type.

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1003015504 NPI number is provided on an as is basis without warranty of any kind. 1003015504 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Raymond Sawusch M.D. are for informational purposes only.