Provider Demographics
NPI:1649095159
Name:MARK TSUCHIYOSE MD INC
Entity type:Organization
Organization Name:MARK TSUCHIYOSE MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GASTROENTEROLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:TSUCHIYOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-465-4450
Mailing Address - Street 1:1850 SULLIVAN AVE STE 420
Mailing Address - Street 2:
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-2204
Mailing Address - Country:US
Mailing Address - Phone:650-465-4450
Mailing Address - Fax:
Practice Address - Street 1:1850 SULLIVAN AVE STE 420
Practice Address - Street 2:
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-2204
Practice Address - Country:US
Practice Address - Phone:650-465-4450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty