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
Provider Name :Dr. Mark Anthony Selleck
Credential :M.D., PH.D.
Gender :Male
Sole Proprietor : Yes
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
Phone Number :323-361-2122
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
NPI Entity Type : Individual
First Enrolment Date : 11 Jan, 2012
Last Updated On : 11 Jan, 2012
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
Medicare Enrollment ID :I20160712000539
Primary Specialty :Pulmonary Disease
Medical School :University Of Southern California Keck School Of Medicine
Graduation Year :2007
Accepts Medicare?Yes. Dr. Mark Anthony Selleck accepts medicare insurance.
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 IDNo. of MembersPractice AddressGroup Accepts Medicare
Childrens Hospital Los Angeles Medical Group Inc01431269201634650 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 SpecialityPrimaryLicense No.State
208000000XPediatricsYesA113361CA
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
Phone Number :626-797-4161
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.