MEDICARE: MARK GEOFFREY WAHRENBROCK M.D., PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZC0006X	Clinical Pathology Physician	A158210	CA

General Provider Information

NPI Number	:	1104267145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK GEOFFREY WAHRENBROCK M.D., PH.D.

Provider Business Mailing Address
First Line	:	8901 ACTIVITY RD STE 205
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-4436
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 ACTIVITY RD STE 205
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-4436
Country	:	US
Telephone Number	:	888-992-7555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2013
Last Update Date	:	03/31/2021

Similar Medicare Providers

1598773541 — MELINDA KAPLOW-MARINO DDS
Practice Location Address:

8901 ACTIVITY RD STE 203
SAN DIEGO, CA
92126-4436

Practice Phone: 858-578-0800
Practice Fax: 858-578-0444

1760703623 — DR. KENNY KHIEM-HUY MAI D.O
Practice Location Address:

8901 ACTIVITY RD STE 205
SAN DIEGO, CA
92126-4436

Practice Phone: 858-779-9919
Practice Fax: 858-779-9219

1477893261 — DR. BRITTANY DANIELLE GROVEY M.D.
Practice Location Address:

8901 ACTIVITY RD STE 104
SAN DIEGO, CA
92126-4436

Practice Phone: 858-345-4646
Practice Fax: 877-526-9423

1386272631 — PACIFIC MEDICAL NETWORK
Practice Location Address:

8901 ACTIVITY RD STE 103
SAN DIEGO, CA
92126-4436

Practice Phone: 858-703-6964
Practice Fax:

1003422643 — MODEN MEDICAL GROUP
Practice Location Address:

8901 ACTIVITY RD STE 205
SAN DIEGO, CA
92126-4436

Practice Phone: 888-822-1184
Practice Fax: 888-877-3676

1962122440 — KIMBERLY MUNGOVAN PT
Practice Location Address:

8901 ACTIVITY RD STE 200
SAN DIEGO, CA
92126-4436

Practice Phone: 858-566-6673
Practice Fax: 858-566-6803

Directions to “ MARK GEOFFREY WAHRENBROCK M.D., PH.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.