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Mark W Deseran, MD
Diagnostic Radiology Physician in Lynwood, California
NPI 1730126467

Mark W Deseran is a Diagnostic Radiology Physician based in Lynwood, CA and is specialized in Diagnostic Radiology. Mark W Deseran practices in Lynwood, CA and has the professional credentials of MD. The NPI Number for Mark W Deseran is 1730126467 and holds a License No. G67376 (California).

The current practice location address for Mark W Deseran is 3630 E. Imperial Hwy, Lynwood, CA and can be reached out via phone at 310-900-2768 and via fax at 310-900-8852.

Location: 3630 E. Imperial Hwy, Lynwood, CA, 90262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730126467
Provider Name
Mark W Deseran
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3630 E. Imperial Hwy, Lynwood, CA, 90262
Phone Number
310-900-2768
Fax Number
310-900-8852
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G673760 01 CA BLUE SHIELD OF CA
00G673760 05 CA
institution
Provider Business Practice Location Address Details
Address
3630 E. Imperial Hwy
City
Lynwood
State
California
Zip
90262
Phone Number
310-900-2768
Fax Number
310-900-8852
person
Provider Business Mailing Address Details
Address
3630 E. Imperial Hwy
City
Lynwood
State
California
Zip
90262
Phone Number
310-900-2768
Fax Number
310-900-8852
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G67376 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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