Dy-Liacco, Mark
Dy-Liacco, Mark is an individual health care provider with primary practice located at 5555 W Las Positas Blvd , Pleasanton CA 94588-4000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Dy-Liacco, Mark can be contacted via phone (925) 416-3440.Contact Information
Primary practice address
5555 W Las Positas Blvd
Pleasanton CA 94588-4000
Phone: (925) 416-3440
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | G192769 | California |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G192769 | California |
Profile Details
| NPI number | 1366488850 |
|---|---|
| LBN Legal business name | Dy-Liacco, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Jan 14th, 2025 - about last year |
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.
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