Individual provider · Type 1 NPI
Mark Laverne Janzen, MD
Vascular Surgery Physician · Riverside, CA
NPI number
1932329265
Active
Practice location
10800 Magnolia Avenue,, Kaiser Permanente Riverside Medical Center
Riverside, CA 92505
Mailing address
10800 Magnolia Avenue, MOB1, 2nd Floor, Module 216, Kaiser Permanente Riverside Medical Center
Riverside, CA 92505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | 089484 (OH) |
| Trauma Surgery Physician | 2086S0127X | 089484 (OH) |
| Vascular Surgery Physician Primary | 2086S0129X | A90203 (CA) |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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About NPI 1932329265
Mark Laverne Janzen, MD's National Provider Identifier is 1932329265, issued on Apr 27, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Riverside, CA. The record was last updated on Jan 27, 2017.