Provider Demographics
NPI:1023031267
Name:SCHLESINGER, MARK PAUL (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:PAUL
Last Name:SCHLESINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 W ALAMEDA AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2958
Mailing Address - Country:US
Mailing Address - Phone:818-845-8100
Mailing Address - Fax:818-845-8120
Practice Address - Street 1:2031 W ALAMEDA AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2958
Practice Address - Country:US
Practice Address - Phone:818-845-8100
Practice Address - Fax:818-845-8120
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50039207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G500390OtherBLUE SHIELD
CA00G500390Medicaid
CAWG50039CMedicare PIN
CA00G500390OtherBLUE SHIELD