Healthcare Provider Details

I. General information

NPI: 1801214788
Provider Name (Legal Business Name): CATHERINE MARKS M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2014
Last Update Date: 04/10/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 WEST BALL RD SUITE 202
ANAHEIM CA
92804-3735
US

IV. Provider business mailing address

3400 WEST BALL RD SUITE 202
ANAHEIM CA
92804-3735
US

V. Phone/Fax

Practice location:
  • Phone: 714-236-9663
  • Fax: 714-236-9699
Mailing address:
  • Phone: 714-236-9663
  • Fax: 714-236-9699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number129438
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: