Mark, David Bruce

Mark, David Bruce is an individual health care provider with primary practice located at 1010 W Fremont Ave Ste 200, Sunnyvale CA 94087-3019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Mark, David Bruce can be contacted via phone (408) 739-6200.

Contact Information

Primary practice address
1010 W Fremont Ave Ste 200 Sunnyvale CA 94087-3019
Fax: (408) 739-2439
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G35305 California

Profile Details

NPI number 1912900218
LBN Legal business name Mark, David Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
Last updated Jan 31st, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912900218 NPPES
California MEDICAID 9533828

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