Mark E. Merriman, MD, a Medical Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

G71754 Issued in CA

Legal business name

MARK E. MERRIMAN, MD, A MEDICAL CORPORATION

Practice address

20750 Ventura Blvd Suite 210
Woodland Hills, CA 91364-6235

Phone

(818) 888-7815

Fax

(818) 715-7122

NPI assigned

Aug 5, 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 E. Merriman, M.D.

Title

President

Phone

(209) 473-6555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1730198011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7001",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913577001",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20750 VENTURA BLVD SUITE 210",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913646235",
            "telephone_number": "818-888-7815",
            "fax_number": "818-715-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK E. MERRIMAN, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "MERRIMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-473-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G71754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CG825A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marion Kim Wan Ho MD a Professional Corporation
• Karyme Mariscal
• Wendy Mark, MS
• Bruce J. Markham, MD
• Catherine Markle
• Marla Carbonell Licensed Clinical Social Worker, PC
• Katsiaryna Maroz, NP

• Anesthesiology Physician in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.