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MARK MIKHAEL INC NPI 1740622232


NPI Information

NPI: 1740622232
Provider Name: MARK MIKHAEL INC
Classification: Orthopaedic Surgery - 207XX0004X
Entity Type: Organization

Specialization: Foot and Ankle Surgery

Address:
2625 W ALAMEDA AVE
SUITE 116
BURBANK, CA
ZIP 91505
Phone: (818) 841-3936
Get Directions

MARK MIKHAEL INC is a foot and ankle surgery orthopaedic surgery in Burbank, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. MARK MIKHAEL INC NPI is 1740622232. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2625 W ALAMEDA AVE
SUITE 116
BURBANK, CA
ZIP 91505-806
Phone: (818) 841-3936
Fax: (818) 841-5974

The provider's authorized official is Mark M Mikhael .
The authorized official title is President and has the following contact phone number (818) 841-3936.

The enumeration date for this NPI number is 7/24/2013 and was last updated on 6/20/2016.


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
1207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryA105078CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16842310001MEDICARE NSCCALIFORNIA
2CB202925MEDICARE UPINCALIFORNIA
37473690001MEDICARE NSCCALIFORNIA

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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