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WENDELL MARK STREET M.D. INC NPI 1902084783


NPI Information

NPI: 1902084783
Provider Name: WENDELL MARK STREET, M.D., INC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
11332 MOUNTAIN VIEW AVE
SUITE A
LOMA LINDA, CA
ZIP 92354
Phone: (951) 640-1230
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WENDELL MARK STREET, M.D., INC is a pain medicine anesthesiology in Loma Linda, CA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. WENDELL MARK STREET, M.D., INC NPI is 1902084783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11332 MOUNTAIN VIEW AVE
SUITE A
LOMA LINDA, CA
ZIP 92354-854
Phone: (951) 640-1230
Fax: (951) 924-2535

The provider's authorized official is Wenell Mark Street .
The authorized official title is Owner/medical Director and has the following contact phone number (951) 640-1230.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 2/4/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineA43837CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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