Dr. Leslie Alison Mark
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
5222 Balboa Ave Sixth Floor
San Diego
, California 92117-6904
Dr. Leslie Alison Mark
Dermatologist Procedural Dermatology MOHS-Micrographic Surgeon
5222 Balboa Ave Sixth Floor
San Diego
, California 92117-6904
(858) 292-0514
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Leslie Alison Mark
- 5222 Balboa Ave Sixth Floor
- San Diego, CA
- Zip : 92117-6904
- Fax : (858) 292-0514
- Phone : (858) 292-0204
Second Address
- Dr. Leslie Alison Mark
- 5222 Balboa Ave Sixth Floor
- San Diego, CA
- Zip : 92117-6904
- Fax : (858) 292-0514
- Phone : (858) 292-0204
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | G36164 | CA |
| N | 207ND0101X | MOHS-Micrographic Surgeon | G36164 | CA |
| N | 207NS0135X | Procedural Dermatology | G36164 | CA |
National Provider Identifier
| NPI | 1073552238 |
|---|---|
| Provider Name | Dr. Leslie Alison Mark |
| First Address | San Diego, CA 92117-6904 |
| Second Address | San Diego, CA 92117-6904 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/06/2006 |
| Last Update Date | 05/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G361640 | (05) | CA |
| A46598 | (02) | CA |
| G36164 | CA STATE LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.