Dr. Mark Robert Hanudel
Pediatrician Pediatric Nephrologist
10833 Le Conte Ave
Los Angeles
, California 90095-3075
Dr. Mark Robert Hanudel
Pediatrician Pediatric Nephrologist
10833 Le Conte Ave
Los Angeles
, California 90095-3075
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Mark Robert Hanudel
- 5767 W Century Blvd Ste 400
- Los Angeles, CA
- Zip : 90045-5631
- Phone :
Second Address
- Dr. Mark Robert Hanudel
- 10833 Le Conte Ave
- Los Angeles, CA
- Zip : 90095-3075
- Phone : (310) 206-6987
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Is Dr. Mark Robert Hanudel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | 110834 | CA |
| N | 2080P0210X | Pediatric Nephrologist | 110834 | CA |
National Provider Identifier
| NPI | 1891956710 |
|---|---|
| Provider Name | Dr. Mark Robert Hanudel |
| First Address | Los Angeles, CA 90045-5631 |
| Second Address | Los Angeles, CA 90095-3075 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2008 |
| Last Update Date | 27/04/2018 |
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.