Provider Demographics
NPI:1275638801
Name:KALINA, MARK E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:E
Last Name:KALINA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:427 S CEDROS AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1969
Mailing Address - Country:US
Mailing Address - Phone:858-876-6360
Mailing Address - Fax:800-876-6912
Practice Address - Street 1:427 S CEDROS AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1969
Practice Address - Country:US
Practice Address - Phone:858-876-6360
Practice Address - Fax:800-876-6912
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2013-08-28
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Provider Licenses
StateLicense IDTaxonomies
CAA49274207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF35477Medicare UPIN
CABQ978ZMedicare PIN