MICHAEL DAVID MARK (NPI# 1508310244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508310244 |
| Entity Type | Individual |
| Full Name | MICHAEL DAVID MARK |
| Credential | LA.C, DIPL. O.M. |
| Practice Address |
13677 Foothill Blvd Ste P Fontana CA 92335-0214 |
| Mailing Address |
20687 Amar Road Ste 2 Box 240 Walnut CA 91789 |
| Practice Telephone | 9097665397 |
| Practice Fax Number | 9096972274 |
| Mailing Telephone | 9097665397 |
| Mailing Fax Number | 9096972274 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 17044 | CA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821082892 | Michael H Mark | Psychiatry & Neurology | 28467 Dupont Blvd, Millsboro, DE 19966-3749 | 2005-09-07 |
| 1558748665 | Michael Mark | Psychologist | 1230 Rosecrans Ave, Suite 300, Manhattan Beach, CA 90266-2477 | 2015-04-28 |
| 1477618445 | Michael L Mark | Dentist | 4001 Lake Otis Pkwy, Suite 202, Anchorage, AK 99508-5211 | 2006-12-27 |
| 1982770665 | Michael B Mark | Counselor | 10717 Camino Ruiz Ste 207, San Diego, CA 92126-2364 | 2006-11-27 |
| 1912904640 | Michael Mark | Dentist | 1 Washington Sq, New Britain, CT 06051-1848 | 2005-07-07 |
| Street Address |
13677 FOOTHILL BLVD STE P |
| City | FONTANA |
| State | CA |
| Zip Code | 92335-0214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1790312791 | Trevor Nguyen | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd, Building A, Fontana, CA 92335 | 2020-03-27 |
| 1184251365 | Benjamin Chang | Student in an Organized Health Care Education/Training Program | 17234 Valley Blvd., Bldg. A, Fontana, CA 92335 | 2020-03-26 |
| 1407487309 | Perla Hernandez | Licensed Vocational Nurse | 14677 Merrill Aver, Fontana, CA 92335 | 2020-01-29 |
| 1013552660 | Valencia Malone | Licensed Vocational Nurse | 14677 Merrill, Fontana, CA 92335 | 2019-11-07 |
| 1831749779 | Daniel Eric Wright | Student in an Organized Health Care Education/Training Program | 14677 Merrell Ave., Fontana, CA 92335 | 2019-09-12 |
| 1962069815 | Melissa Rivera | Licensed Vocational Nurse | 15217 San Bernardino Ave., Fontana, CA 92335 | 2019-05-28 |
| 1275199770 | Jennifer Lynn Malone | Peer Specialist | 14677 Merrall Ave, Fontana, CA 92335 | 2019-05-10 |
| 1770147894 | Noelle Chong | Registered Nurse | 14677 Merill Ave, Fontana, CA 92335 | 2019-04-24 |
| 1992261929 | Destiny Alzate | Counselor | 1467 Merrill Ave, Fontana, CA 92335 | 2019-02-14 |
| Find all providers in zip 92335 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568983393 | Fontana Family Acupuncture Inc. | Acupuncturist | 9673 Sierra Ave Ste E, Fontana, CA 92335-2424 | 2017-07-01 |
| 1689113565 | Sun Hee Park | Acupuncturist | 9773 Sierra Ave # H7, Fontana, CA 92335-6716 | 2017-02-13 |
| 1376964122 | Sophia S Jeon | Acupuncturist | 15592 Marnie Pl, Fontana, CA 92336-4595 | 2013-12-20 |
| 1619204120 | Soon Park | Acupuncturist | 9773 Sierra Ave, Fontana, CA 92335-6716 | 2009-11-05 |
| 1093990764 | Elliot Heejae Kim | Acupuncturist | 8253 Sierra Ave Ste 205, Fontana, CA 92335-3577 | 2007-12-31 |
| 1952584211 | Han Tae Choe | Acupuncturist | 7488 Lime Ave, Fontana, CA 92336-3173 | 2007-12-10 |
| 1851451900 | Sang Woo Kim | Acupuncturist | 8832 Sierra Ave, Fontana, CA 92335-8649 | 2006-12-11 |
| 1043739022 | Young Kim | Acupuncturist | 9773 Sierra Ave, Fontana, CA 92335-6716 | 2017-09-11 |
| 1033647581 | You Seung Lim | Acupuncturist | 9773 Sierra Ave, Fontana, CA 92335-6716 | 2017-05-30 |
| 1700334166 | Fontana Chiropractic and Acupuncture | Acupuncturist | 13677 Foothill Blvd, Ste P, Fontana, CA 92335-0505 | 2016-09-14 |
| Find all providers in FONTANA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.