| Doctor Name: | DR. MELVIN I MARKS |
| NPI Number: | 1932536927 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | G59098 |
| Business Practice Address: | 1501 Superior Ave Suite #111 & 311 Newport Beach, CA - 926633600 |
| Business Phone Number: | 9496313454 |
| Business Fax Number: | 9496312787 |
| Mailing Address: | 258 Belmont Ave, LONG BEACH |
| State: | CA |
| Postal Code: | 908031522 |
| Phone Number: | 7144023027 |
| Fax Number: | 5629339707 |
| NPI Enumeration Date: | 10/04/2013 |
| NPI Last Update Date: | 10/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G59098 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |