Minkes, Mark S

Minkes, Mark S is an individual health care provider with primary practice located at 11480 Brookshire Ave Suite 111, Downey CA 90241-5010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Minkes, Mark S can be contacted via phone (562) 904-1651.

Contact Information

Primary practice address
11480 Brookshire Ave Suite 111 Downey CA 90241-5010
Phone: (562) 904-1651
Fax: (562) 904-1656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X G38259 California

Profile Details

NPI number 1629027289
LBN Legal business name Minkes, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Jul 24th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629027289 NPPES
California MEDICAID GR0080690
California Other GR0080690
California Other 990004307
California Other 0004024011
California Other ZZZ54573Z

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