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General NPI Number Information
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NPI Number | 1023388113
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Entity Type | Organization
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Legal Business Name | MICHAEL MARKOPOULOS MD INC
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Dates
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Enumeration Date | 01/05/2012
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 3830 VALLEY CENTRE DR SUITE 705-463
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City | SAN DIEGO
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State | CA
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Zip | 92130-3320
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Country | US
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Telephone | 858-481-0412
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Fax | 858-481-6066
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Provider Business Mailing Address
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Address Line | 3830 VALLEY CENTRE DR SUITE 705-463
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City | SAN DIEGO
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State | CA
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Zip | 92130-3320
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Country | US
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Telephone | 858-481-0412
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Fax | 858-481-6066
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL MARKOPOULOS
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Credential | MD
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Telephone | 858-243-7404
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G34687
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License Number State | CA
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