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PROSTATE ONCOLOGY SPECIALISTS INC. NPI 1588653943


NPI Information

NPI: 1588653943
Provider Name: PROSTATE ONCOLOGY SPECIALISTS, INC.

Former Legal Business Name: MARK SCHOLZ M.D.

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0547251

Address:
4560 ADMIRALTY WAY STE 111
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 827-7707
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PROSTATE ONCOLOGY SPECIALISTS, INC. is a specialist in Marina Del Rey, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PROSTATE ONCOLOGY SPECIALISTS, INC. NPI is 1588653943. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Mark Scholz M.d..

The provider's business location address is:

4560 ADMIRALTY WAY STE 111
MARINA DEL REY, CA
ZIP 90292-424
Phone: (310) 827-7707
Fax: (310) 574-4002

The provider's authorized official is Mark C. Scholz .
The authorized official title is President, Medical Director and has the following contact phone number (310) 827-7707.

The CLIA number assigned to this NPI record is 05D0547251 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/18/2005 and was last updated on 4/4/2024.


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
1174400000XSpecialistG52827CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.