MARK TRISTAN FUCINARI CNIM NPI 1639503600

NPI Information

NPI: 1639503600
Provider Name: MARK TRISTAN FUCINARI, CNIM
Classification: Specialist/Technologist, Other - 246ZE0600X
Entity Type: Individual

Specialization: Electroneurodiagnostic

Address:
4653 CARMEL MOUNTAIN RD STE 308-201
SAN DIEGO, CA
ZIP 92130
Phone: (619) 955-8494
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Mark Tristan Fucinari, CNIM is an electroneurodiagnostic specialist technologist other in San Diego, CA. Mark Tristan Fucinari, CNIM NPI is 1639503600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4653 CARMEL MOUNTAIN RD STE 308-201
SAN DIEGO, CA
ZIP 92130-650
Phone: (619) 955-8494

The enumeration date for this NPI number is 8/27/2013 and was last updated on 7/25/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZE0600X	Specialist/Technologist, Other	Electroneurodiagnostic			Yes

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: 11/14/2023

NPI Synchronization or Removal

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