person
Mark Masaru Urata, MDDDS
Plastic and Reconstructive Surgery Physician in Los Angeles, California
NPI 1235234857

Mark Masaru Urata is a Plastic and Reconstructive Surgery Physician based in Los Angeles, CA and is specialized in Plastic and Reconstructive Surgery. Mark Masaru Urata practices in Los Angeles, CA and has the professional credentials of MDDDS. The NPI Number for Mark Masaru Urata is 1235234857 and holds a License No. A64497 (California).

The current practice location address for Mark Masaru Urata is 4650 W Sunset Blvd, Los Angeles, CA and can be reached out via phone at 888-631-2452 and via fax at 323-361-8988.

Location: 4650 W Sunset Blvd, Los Angeles, CA, 90031-0309
person
Provider Profile Details
NPI Number
1235234857
Provider Name
Mark Masaru Urata
Credential
MDDDS
Provider Entity Type
Individual
Gender
Male
Address
4650 W Sunset Blvd, Los Angeles, CA, 90031-0309
Phone Number
888-631-2452
Fax Number
323-361-8988
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A644970 05 CA
institution
Provider Business Practice Location Address Details
Address
4650 W Sunset Blvd
City
State
Zip
90027-6062
Phone Number
888-631-2452
Fax Number
323-361-8988
person
Provider Business Mailing Address Details
Address
4650 W Sunset Blvd
City
State
Zip
90027-6062
Phone Number
888-631-2452
Fax Number
323-361-8988
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Plastic and Reconstructive Surgery
Taxonomy
License No.
A64497 (California)
Definition
A surgeon who specializes in plastic and reconstructive surgery.
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