Mark J Epstein, M.D., Inc. a California Medical Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

C25413 Issued in CA

Legal business name

MARK J EPSTEIN, M.D., INC. A CALIFORNIA MEDICAL CORPORATION

Practice address

16955 Vanowen St
Van Nuys, CA 91406-4542

Phone

(818) 343-0700

Fax

(818) 996-8670

NPI assigned

Aug 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mark J Epstein, MD

Title

Owner

Phone

(818) 521-9289

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1609884741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260184",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914260184",
            "telephone_number": "818-368-1802",
            "fax_number": "818-360-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16955 VANOWEN ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064542",
            "telephone_number": "818-343-0700",
            "fax_number": "818-996-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK J EPSTEIN, M.D., INC. A CALIFORNIA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-521-9289",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C25413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1598707341",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.