Mark Powell, MD
Pediatrics in Pasadena, CA. Individual provider (NPI-1).
NPI number1104905850
StatusActive
Last updated in NPPESSep 13, 2019
Details
- NPI
- 1104905850
- Entity type
- Individual (NPI-1)
- Name
- Mark Powell
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 3, 2006
- Last updated
- Sep 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | G70304 | CA | Yes |
| 174400000X | Specialist | G70304 | CA |
Practice location
800 Fairmount AveSuite 415
Pasadena, CA 91105-3150
Phone 626-449-8440 · Fax 626-449-8999
Mailing address
5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
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