Doctor Name: | MR. MARK STEVEN SUGAR |
NPI Number: | 1013959253 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | C032628 |
Business Practice Address: | 27800 Medical Center Road Suite 244 Mission Viejo, CA - 92691 |
Business Phone Number: | 7146620313 |
Business Fax Number: | 7146620353 |
Mailing Address: | 27800 Medical Center Road, Suite 244 MISSION VIEJO |
State: | CA |
Postal Code: | 92691 |
Phone Number: | 9493642900 |
Fax Number: | 9493640134 |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 08/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | C032628 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |