Provider Demographics
NPI:1174794846
Name:MARK SCHEIER, M.D. INC
Entity type:Organization
Organization Name:MARK SCHEIER, M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-228-1446
Mailing Address - Street 1:5451 LA PALMA AVENUE
Mailing Address - Street 2:SUITE 22
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1730
Mailing Address - Country:US
Mailing Address - Phone:714-228-1446
Mailing Address - Fax:714-228-1450
Practice Address - Street 1:5451 LA PALMA AVENUE
Practice Address - Street 2:SUITE 22
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1730
Practice Address - Country:US
Practice Address - Phone:714-228-1446
Practice Address - Fax:714-228-1450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36345261Q00000X, 261QM2500X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A363450Medicaid
CAA28050Medicare UPIN
CAA36345Medicare PIN