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NPI Code Detail

MEDICARE: MARK HAROLD LUOTO MD

MEDICARE: MARK HAROLD LUOTO MD
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
1207P00000XEmergency Medicine PhysicianG42040CA

General Provider Information

NPI Number : 1932158854
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK HAROLD LUOTO MD
Provider Business Mailing Address
First Line : 100 WILSON RD STE 100
Second Line :
City : MONTEREY
State : CA
Zip : 93940-7885
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1505 MAIN ST
Second Line :
City : WATSONVILLE
State : CA
Zip : 95076-3761
Country : US
Telephone Number : 831-722-1444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2006
Last Update Date : 09/16/2022

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