Provider Demographics
NPI:1871653444
Name:MARK SCHENKEL, M.D., A.P.C
Entity Type:Organization
Organization Name:MARK SCHENKEL, M.D., A.P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:BARRY
Authorized Official - Last Name:SCHENKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-348-5098
Mailing Address - Street 1:7230 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1907
Mailing Address - Country:US
Mailing Address - Phone:818-348-5098
Mailing Address - Fax:818-598-1968
Practice Address - Street 1:7230 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 600
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1907
Practice Address - Country:US
Practice Address - Phone:818-348-5098
Practice Address - Fax:818-598-1968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35586208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1104863216OtherINDIVIDUALNPI
CA1104863216OtherINDIVIDUALNPI
CAA27843Medicare UPIN