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NPI 1952451049

NPI 1952451049 : MARK GALBRAITH, M.D., INC. : MISSION VIEJO, CA

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General NPI Number Information
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    NPI Number           |    1952451049
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    Entity Type          |    Organization 
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    Legal Business Name  |    MARK GALBRAITH, M.D., INC. 
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Dates
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    Enumeration Date     |    01/11/2007
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    Last Update Date     |    02/26/2025
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Provider Practice Location Address
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    Address Line         |    26691 PLAZA 110
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    City                 |    MISSION VIEJO
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    State                |    CA
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    Zip                  |    92691-6329
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    Country              |    US
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    Telephone            |    949-360-6009
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    Fax                  |    949-360-6162
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Provider Business Mailing Address
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    Address Line         |    26732 CROWN VALLEY PKWY STE 511 
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    City                 |    MISSION VIEJO
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    State                |    CA
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    Zip                  |    92691-8525
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    Country              |    US
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    Telephone            |    949-360-6009
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    Fax                  |    949-360-6162
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. JON MARK GALBRAITH 
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    Credential           |    MD
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    Telephone            |    949-360-6009
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207QS0010X
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    Taxonomy Name        |    Sports Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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