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DR. MARK KAL M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1316937931

Individual Registrant:
DR. MARK  KAL M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
46900 OCEAN DR  GUALALA, CA 95445-8353 US
Tel: 707-884-4005  Fax: 707-884-9728

Contact information for business:
PO BOX 1100  GUALALA, CA 95445-1100 US
Tel: 707-884-4005  Fax: 707-884-9728

Registration Information:
NPI: 1316937931
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAG56821

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
RAILROAD MEDICAREP01070319CA01




HEALTH CARE JOBS CA - Page 1



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