Provider Demographics
NPI:1821155011
Name:STOKOLS, MARK F (MD)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:F
Last Name:STOKOLS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5051 VERDUGO WAY
Mailing Address - Street 2:STE 100
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012
Mailing Address - Country:US
Mailing Address - Phone:805-384-8071
Mailing Address - Fax:805-987-1927
Practice Address - Street 1:5051 VERDUGO WAY
Practice Address - Street 2:STE 100
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012
Practice Address - Country:US
Practice Address - Phone:805-384-8071
Practice Address - Fax:805-987-1927
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2016-04-13
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Provider Licenses
StateLicense IDTaxonomies
CAA48615207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ16399ZOtherBLUE SHIELD
CAE86378Medicare UPIN
CAE86378Medicare UPIN