Dr. Mark Anthony Selleck
M.D., PH.D. | Pediatrics | Male
Dr. Mark Anthony Selleck, M.D., PH.D. is a Los Angeles, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Mark Anthony Selleck is
4650 W Sunset Blvd, #68, Los Angeles, California - 90027-6062. He can be contacted on phone at
323-361-2122.
Dr. Mark Anthony Selleck is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Mark Anthony Selleck is
1033489794 which was assigned by NPPES on 11 Jan, 2012 and it was last updated on 11 Jan, 2012.
Dr. Mark Anthony Selleck license number is
A113361 for Pediatrics (208000000X) in California.
Dr. Mark Anthony Selleck is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Mark Anthony Selleck basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics |
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Provider Name : | Dr. Mark Anthony Selleck |
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Credential : | M.D., PH.D. |
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Gender : | Male |
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Sole Proprietor : | Yes |
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Business Address:
Dr. Mark Anthony Selleck address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 4650 W Sunset Blvd, #68 Los Angeles, CA, 90027-6062 United States |
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Phone Number : | 323-361-2122 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1033489794 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 11 Jan, 2012 |
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Last Updated On : | 11 Jan, 2012 |
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Medicare Participation:
Dr. Mark Anthony Selleck participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 6002108032 |
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Medicare Enrollment ID : | I20160712000539 |
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Primary Specialty : | Pulmonary Disease |
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Medical School : | University Of Southern California Keck School Of Medicine |
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Graduation Year : | 2007 |
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Accepts Medicare? | Yes. Dr. Mark Anthony Selleck accepts medicare insurance. |
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Group Practice Association:
Dr. Mark Anthony Selleck is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Mark Anthony Selleck is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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Childrens Hospital Los Angeles Medical Group Inc | 0143126920 | 163 | 4650 W Sunset Blvd Los Angeles, CA - 900276062 Ph: 3233618408 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark Anthony Selleck are as mentioned. Primary taxonomy code for Dr. Mark Anthony Selleck, M.D., PH.D. is
208000000X (Pediatrics).
Taxonomy Code | Speciality | Primary | License No. | State |
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208000000X | Pediatrics | Yes | A113361 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 2247 Oakwood St Pasadena, CA, 91104-1808 United States |
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Phone Number : | 626-797-4161 |
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Business Location:
Patients can refer following map for directions to
Dr. Mark Anthony Selleck practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.