Mark D. Wolfsohn, M.D., Anesthesiology Medical Corp.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G34454 Issued in CA

Legal business name

MARK D. WOLFSOHN, M.D., ANESTHESIOLOGY MEDICAL CORP.

Practice address

261 Mobil Ave
Camarillo, CA 93010-6337

Phone

(805) 484-8558

Fax

(805) 484-3099

NPI assigned

Jun 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc D. Wolfsohn, M.D.

Title

Owner

Phone

(310) 440-3131

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216166400000",
    "number": "1366487175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11999 SAN VICENTE BLVD",
            "address_2": "STE. 440",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900495131",
            "telephone_number": "310-440-3131",
            "fax_number": "310-472-9582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MOBIL AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106337",
            "telephone_number": "805-484-8558",
            "fax_number": "805-484-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK D. WOLFSOHN, M.D., ANESTHESIOLOGY MEDICAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-07-16",
        "status": "A",
        "authorized_official_last_name": "WOLFSOHN",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-440-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G34454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G344540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronnie Greg Marin
• Laurel Jane Marion, MS
• Zoe Maritorena
• Mark C. MC Dade DMD
• Mark C. McDade DMD
• Melinda Louise Mark, MPT
• Tanner Lynn Markham
• Deborah Marlow Mejia, MD
• Michelle Marmolejo
• Brenda Gail Marquez

• Anesthesiology Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.