Mark John Souris

LBN: Mark John Souris
Mark John Souris is an health care organization with primary practice located at 18757 Burbank Blvd Suite 125, Tarzana CA 91356-3375. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Mark John Souris can be contacted via phone (818) 635-9705, or through Souris, Mark John via phone (818) 635-9705.

Contact Information

Primary practice address
18757 Burbank Blvd Suite 125 Tarzana CA 91356-3375
Phone: (818) 635-9705
Fax: (818) 881-5504
Website:
Map and Directions
Authorized official contact:
Name: Souris, Mark John PSYD
Phone: (818) 635-9705

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 14283 California

Profile Details

NPI number 1215381918
LBN Legal business name Mark John Souris
DBA Doing business as
Authorized official Souris, Mark John PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 19th, 2016
Last updated Apr 19th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215381918 NPPES
California Other 14283 LICENSE

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