| Mark A. Gerard M.d., A Medical Corporation | |
|
201 S Buena Vista St Ste 250 Burbank CA 91505-4520 | |
| (818) 562-3200 | |
| (818) 562-3205 |
| Full Name | Mark A. Gerard M.d., A Medical Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 S Buena Vista St Ste 250, Burbank, California |
| Authorized Official Name and Position | Mark A Gerard (M.D.) |
| Authorized Official Contact | 8185623200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark A. Gerard M.d., A Medical Corporation 201 S Buena Vista St Ste 250 Burbank CA 91505-4520 Ph: (818) 562-3200 | Mark A. Gerard M.d., A Medical Corporation 201 S Buena Vista St Ste 250 Burbank CA 91505-4520 Ph: (818) 562-3200 |
| NPI Number | 1063675783 |
|---|---|
| Provider Enumeration Date | 07/02/2008 |
| Last Update Date | 07/02/2008 |
| Medicare PECOS PAC ID | 9335202738 |
|---|---|
| Medicare Enrollment ID | O20090112000399 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063675783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G64189 (California) | Primary |
| Provider Name | Mark A Gerard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023036670 PECOS PAC ID: 1254494651 Enrollment ID: I20090112000393 |
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