Mark Labeau, D.O.
Internal Medicine in Encinitas, CA. Individual provider (NPI-1).
NPI number1104902253
StatusActive
Last updated in NPPESJun 15, 2010
Details
- NPI
- 1104902253
- Entity type
- Individual (NPI-1)
- Name
- Mark Labeau
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2006
- Last updated
- Jun 15, 2010
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- Medicare opt-out
- May 1, 2013 to May 1, 2027
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 20A6565 | CA | Yes |
Practice location
4403 Manchester Ave.Suite 107
Encinitas, CA 92084
Phone 760-632-9042 · Fax 760-632-0574
Mailing address
4403 Manchester Ave.Suite 107
Encinitas, CA 92084
Phone 760-632-9042 · Fax 760-632-0574
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