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NPI Code Detail

MEDICARE: MR. MARK EDWARD MCLAUGHLIN BS

MEDICARE: MR. MARK EDWARD MCLAUGHLIN BS
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
1171M00000XCase Manager/Care Coordinator
2225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1851571665
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK EDWARD MCLAUGHLIN BS
Provider Business Mailing Address
First Line : 2681 28TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94116-2912
Country : US
Telephone Number : 415-682-3211
Fax Number :
Provider Business Practice Location Address
First Line : 2681 28TH AVE
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94116-2912
Country : US
Telephone Number : 415-682-3211
Fax Number : 415-664-7094
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2007
Last Update Date : 05/21/2025

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