Individual provider · Type 1 NPI

Mark Stanton McDonnell, MD

Student in an Organized Health Care Education/Training Program · Sylmar, CA

NPI number 1194906693 Active

Practice location

14445 Olive View Dr
Sylmar, CA 91342-1437

Mailing address

5510 Owensmouth Ave Apt 103
Woodland Hills, CA 91367-7011

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194906693

Mark Stanton McDonnell, MD's National Provider Identifier is 1194906693, issued on Nov 27, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sylmar, CA. The record was last updated on Dec 1, 2021.