Mr Mark Dizon, CAMTC 89825 is a
Massage Therapist based in South San Francisco, California. Mr Mark Dizon is licensed to practice in California (license number 89825) and his current practice location is
441 Victory Ave, South San Francisco, California. He can be reached at his office (for appointments etc.) via phone at
(415) 350-8793.
NPI number for Mr Mark Dizon is 1528786118 and his current mailing address is 62 Parkrose Ave, Daly City, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528786118.
Healthcare Provider's Profile
| Full Name | Mr Mark Dizon |
|---|
| Gender | Male |
|---|
| Speciality | Massage Therapist |
|---|
| Location | 441 Victory Ave, South San Francisco, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1528786118
- Provider Enumeration Date: 08/19/2022
- Last Update Date: 08/19/2022
Medical Identifiers
Medical identifiers for Mr Mark Dizon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528786118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 89825 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Mark Dizon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Mark Dizon, CAMTC 89825
62 Parkrose Ave,
Daly City, CA 94015-4420
Ph: (415) 350-8793 | Mr Mark Dizon, CAMTC 89825
441 Victory Ave,
South San Francisco, CA 94080-6312
Ph: (415) 350-8793 |
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