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Mark Drew Pellegrino

Family Doctor - Geriatric Medicine

441 N Lakeview Ave
Anaheim , California 92807-3028

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Mark Drew Pellegrino

Family Doctor - Geriatric Medicine

441 N Lakeview Ave
Anaheim , California 92807-3028

(888) 988-2800

Write a Review Save Call

Mark Drew Pellegrino

Family Doctor - Geriatric Medicine

441 N Lakeview Ave
Anaheim , California 92807-3028

(888) 988-2800 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor - Geriatric Medicine

Languages spoken

  • English

Location

441 N Lakeview Ave Anaheim , California 92807-3028

First Address

  • Mark Drew Pellegrino
  • 441 N Lakeview Ave
  • Anaheim, CA
  • Zip : 92807-3028
  • Phone : (888) 988-2800

Second Address

  • Mark Drew Pellegrino
  • 441 N Lakeview Ave
  • Anaheim, CA
  • Zip : 92807-3028
  • Phone : (888) 988-2800

Reviews

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FAQs


Where did Mark Drew Pellegrino attend graduate school?

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Where did Mark Drew Pellegrino do his residency?

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Where did Mark Drew Pellegrino do his fellowship?

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Is Mark Drew Pellegrino board certified?

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What type of doctor is Mark Drew Pellegrino

Family Doctor - Geriatric Medicine

In what state does Mark Drew Pellegrino practice in?

California

Where is Mark Drew Pellegrino ’s practice located?

441 N Lakeview Ave , Anaheim, California, 92807-3028

What is Mark Drew Pellegrino ’s gender?

Male

Is Mark Drew Pellegrino a sole practitioner?

No

Is Mark Drew Pellegrino accepting new patients?

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What languages does Mark Drew Pellegrino speak?

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Does Mark Drew Pellegrino accept insurance?

Yes, Mark Drew Pellegrino accepts insurance

Does Mark Drew Pellegrino offers telemedicine?

Mark Drew Pellegrino has not indicated if he offers telemedicine

What is Mark Drew Pellegrino ’s professional license number?

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What is Mark Drew Pellegrino ’s NPI number?

1124176912

Does Mark Drew Pellegrino have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207QG0300X Family Doctor - Geriatric Medicine G69878 CA

National Provider Identifier

NPI 1124176912
Provider Name Mark Drew Pellegrino
First Address Anaheim, CA 92807-3028
Second Address Anaheim, CA 92807-3028
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 08/01/2007
Last Update Date 29/11/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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