Dobkin, Mark S.
Dobkin, Mark S. is an sole proprietor health care provider with primary practice located at 124 Broadway Suite A, Costa Mesa CA 92627-2868. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Dobkin, Mark S. can be contacted via phone (949) 645-0886.Contact Information
Primary practice address
124 Broadway Suite A
Costa Mesa CA 92627-2868
Phone: (949) 645-0886
Fax: (949) 645-8750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AU864 | California |
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | HA1668 | California |
Profile Details
| NPI number | 1073654927 |
|---|---|
| LBN Legal business name | Dobkin, Mark S. |
| Credentials | M.A., FAAA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073654927 | NPPES |
| California | MEDICAID | 3144612 |
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