Provider Demographics
NPI:1770683468
Name:MARK, ESTER (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTER
Middle Name:
Last Name:MARK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28520 WOOD CANYON DR APT 49
Mailing Address - Street 2:
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-4207
Mailing Address - Country:US
Mailing Address - Phone:949-903-8563
Mailing Address - Fax:
Practice Address - Street 1:24291 AVENIDA DE LA CARLOTA STE D
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-7634
Practice Address - Country:US
Practice Address - Phone:949-903-8563
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55272207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0-477-815-5OtherECFMG
BM5370123OtherDEA NUMBER
0-477-815-5OtherECFMG