Mark D Suski
Plastic and Reconstructive Surgery
2166 N Moorpark Road Suite 102
Thousand Oaks
, California 91360-5009
Mark D Suski
Plastic and Reconstructive Surgery
2166 N Moorpark Road Suite 102
Thousand Oaks
, California 91360-5009
(805) 494-1255
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Mark D Suski
- 227 W Janss Rd Ste 320
- Thousand Oaks, CA
- Zip : 91360-1870
- Fax : (805) 494-1255
- Phone : (805) 494-3330
Second Address
- Mark D Suski
- 2166 N Moorpark Road Suite 102
- Thousand Oaks, CA
- Zip : 91360-5009
- Fax : (805) 494-1255
- Phone : (805) 494-3330
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | G76464 | CA |
National Provider Identifier
| NPI | 1093886731 |
|---|---|
| Provider Name | Mark D Suski |
| First Address | Thousand Oaks, CA 91360-1870 |
| Second Address | Thousand Oaks, CA 91360-5009 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/11/2006 |
| Last Update Date | 18/12/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G764640 | (05) | CA |
| 2086S0122X | TAXONOMY (01) | CA |
| H55081 | (02) | 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.