Mark Masaru Urata
Plastic and Reconstructive Surgery
4650 W Sunset Blvd
Los Angeles
, California 90027-6062
Mark Masaru Urata
Plastic and Reconstructive Surgery
4650 W Sunset Blvd
Los Angeles
, California 90027-6062
(323) 442-7920
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Mark Masaru Urata
- Po Box 31309
- Los Angeles, CA
- Zip : 90031-0309
- Phone : (323) 442-7920
Second Address
- Mark Masaru Urata
- 4650 W Sunset Blvd
- Los Angeles, CA
- Zip : 90027-6062
- Fax : (323) 361-8988
- Phone : (888) 631-2452
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | A64497 | CA |
National Provider Identifier
| NPI | 1235234857 |
|---|---|
| Provider Name | Mark Masaru Urata |
| First Address | Los Angeles, CA 90031-0309 |
| Second Address | Los Angeles, CA 90027-6062 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2006 |
| Last Update Date | 20/12/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A644970 | (05) | CA |
| H82927 | (02) |
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.