Individual provider · Type 1 NPI
Mark Siazon
Adult Psychiatric/Mental Health Registered Nurse · Los Angeles, CA
NPI number
1861198657
Active
Practice location
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Mailing address
1818 Michigan Ave Apt 609
Los Angeles, CA 90033-2458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse Primary | 163WP0809X | 95233611 (CA) |
Adult Psychiatric/Mental Health Registered Nurse: Definition to come...
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About NPI 1861198657
Mark Siazon's National Provider Identifier is 1861198657, issued on Feb 2, 2023. The primary taxonomy on file is Adult Psychiatric/Mental Health Registered Nurse (163WP0809X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 2, 2023.