| Dr Mark Kal, MD | |
|
46900 Ocean Dr, Gualala, CA 95445-8353 | |
| (707) 884-4005 | |
| (707) 884-9728 |
| Full Name | Dr Mark Kal |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 46900 Ocean Dr, Gualala, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316937931 | NPI | - | NPPES |
| P01070319 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G56821 (California) | Primary |
| Entity Name | Redwood Coast Medical Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962530725 PECOS PAC ID: 6901941905 Enrollment ID: O20100302000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Kal, MD Po Box 1100, Gualala, CA 95445-1100 Ph: (707) 884-4005 | Dr Mark Kal, MD 46900 Ocean Dr, Gualala, CA 95445-8353 Ph: (707) 884-4005 |
Olaf Kristian Golubjatnikov, Family Medicine Medicare: Medicare Enrolled Practice Location: 46900 Ocean View Dr, Gualala, CA 95445 Phone: 707-884-4005 | |
Dr. Stacey Peel Carroll, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 46900 Ocean View Dr, Gualala, CA 95445 Phone: 707-884-4005 | |
Joanne C. Brooks, R.N. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 46900 Ocean Dr, Gualala, CA 95445 Phone: 707-884-4005 Fax: 707-884-9728 |