Provider Demographics
NPI:1073516076
Name:SCHEIER, MARK (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:
Last Name:SCHEIER
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 1:5451 LA PALMA AVE
Mailing Address - Street 2:STE 22
Mailing Address - City:LA PALMA
Mailing Address - State:CA
Mailing Address - Zip Code:90623-1730
Mailing Address - Country:US
Mailing Address - Phone:714-228-1446
Mailing Address - Fax:714-228-1450
Practice Address - Street 1:5451 LA PALMA AVE
Practice Address - Street 2:STE 22
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-1730
Practice Address - Country:US
Practice Address - Phone:714-228-1446
Practice Address - Fax:714-228-1450
Is Sole Proprietor?:No
Enumeration Date:2005-05-23
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA36345207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A363450Medicaid
CA953762365OtherEIN
CAA36345Medicare PIN
CA953762365OtherEIN