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NPI Code Detail

MEDICARE: MARK WOERZ

MEDICARE: MARK WOERZ
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1265396691
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK WOERZ
Provider Business Mailing Address
First Line : 18612 SANTA ANA AVE
Second Line :
City : BLOOMINGTON
State : CA
Zip : 92316-2639
Country : US
Telephone Number : 909-421-7120
Fax Number :
Provider Business Practice Location Address
First Line : 10001 COUNTY FARM RD
Second Line :
City : RIVERSIDE
State : CA
Zip : 92503-3507
Country : US
Telephone Number : 909-421-7120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2025
Last Update Date : 12/10/2025

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Directions to “ MARK WOERZ ” Practice Location

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