Provider Demographics
NPI:1962038125
Name:MARK LENSKY MD INC
Entity Type:Organization
Organization Name:MARK LENSKY MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:M
Authorized Official - Last Name:LENSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-934-7833
Mailing Address - Street 1:4216 TARZANA ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-5447
Mailing Address - Country:US
Mailing Address - Phone:818-934-7833
Mailing Address - Fax:562-786-8613
Practice Address - Street 1:6245 DE LONGPRE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-8253
Practice Address - Country:US
Practice Address - Phone:323-462-2271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-19
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty