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Mark Siazon
Adult Psychiatric/Mental Health Registered Nurse in Los Angeles, California
NPI 1861198657

Mark Siazon is an Adult Psychiatric/Mental Health Registered Nurse based in Los Angeles, CA and is specialized in Psychiatric/Mental Health, Adult. Mark Siazon practices in Los Angeles, CA. The NPI Number for Mark Siazon is 1861198657 and holds a License No. 95233611 (California).

The current practice location address for Mark Siazon is 1720 E Cesar E Chavez Ave, Los Angeles, CA and can be reached out via phone at 323-268-5000.

Location: 1720 E Cesar E Chavez Ave, Los Angeles, CA, 90033-2458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861198657
Provider Name
Mark Siazon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1720 E Cesar E Chavez Ave, Los Angeles, CA, 90033-2458
Phone Number
323-268-5000
Fax Number
Provider Enumeration Date
02/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1720 E Cesar E Chavez Ave
City
Los Angeles
State
California
Zip
90033-2414
Phone Number
323-268-5000
Fax Number
person
Provider Business Mailing Address Details
Address
1720 E Cesar E Chavez Ave
City
Los Angeles
State
California
Zip
90033-2414
Phone Number
323-268-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
163WP0809X
License No.
95233611 (California)
Definition
Definition to come...
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