Provider Demographics
NPI:1013959253
Name:SUGAR, MARK STEVEN (MD)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:STEVEN
Last Name:SUGAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:27800 MEDICAL CENTER ROAD
Mailing Address - Street 2:SUITE 244
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691
Mailing Address - Country:US
Mailing Address - Phone:949-364-2900
Mailing Address - Fax:949-364-0134
Practice Address - Street 1:27800 MEDICAL CENTER ROAD
Practice Address - Street 2:SUITE 244
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691
Practice Address - Country:US
Practice Address - Phone:714-662-0313
Practice Address - Fax:714-662-0353
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2011-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAC032628207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA87598Medicare UPIN
CAC32628Medicare ID - Type Unspecified