| Mark R Poblete, MD | |
|
15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 | |
| (818) 728-9877 | |
| Not Available |
| Full Name | Mark R Poblete |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 15910 Ventura Blvd, Encino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205036423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 4301090752 (Michigan) | Secondary |
| 207L00000X | Anesthesiology | 22449 (Florida) | Primary |
| Entity Name | Allied Anesthesia Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346267267 PECOS PAC ID: 6103728407 Enrollment ID: O20040126001001 |
| Entity Name | Innovative Anesthesia Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154815264 PECOS PAC ID: 3678823176 Enrollment ID: O20180904002744 |
| Entity Name | Sound Physicians Anesthesiology Of California Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699408229 PECOS PAC ID: 4385027770 Enrollment ID: O20220817003296 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark R Poblete, MD 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 Ph: (818) 728-9877 | Mark R Poblete, MD 15910 Ventura Blvd, Suite 1502, Encino, CA 91436-2802 Ph: (818) 728-9877 |
Naguib Khan, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16501 Ventura Blvd, Ste.#103, Encino, CA 91436 Phone: 818-501-1080 Fax: 818-715-1722 | |
Dr. Peggy Shen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Paul Konikoff, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 16055 Ventura Blvd, Ste.# 120, Encino, CA 91436 Phone: 818-789-9988 Fax: 818-715-1722 | |
Dr. Austin Brendlen Harris, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Dr. Teresita F Matsunaga, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 15910 Ventura Blvd, Suite 1502, Encino, CA 91436 Phone: 818-728-9877 | |
Joseph Thomas Nitti, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 16237 Ventura Blvd, Encino, CA 91436 Phone: 310-440-3131 | |
Blaine T Zaid, D.O. Anesthesiology Medicare: Medicare Enrolled Practice Location: 16311 Ventura Blvd, Ste.#1010, Encino, CA 91436 Phone: 818-789-9988 Fax: 818-715-1722 |