Dr MARK AYZENBERG is a male medical professional, specializing in Orthopedic Surgery. He graduated in 2013.
SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE L.P
6815 NOBLE AVE
VAN NUYS
CA
914053730
Tel: 8189016600
| Npi | 1144563818 |
| Pac Id | 0749531242 |
| Professional Enrollment Id | I20180921002753 |
| Last Name | AYZENBERG |
| First Name | MARK |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2013 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialty 1 | SPORTS MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | SPORTS MEDICINE |
| Organization Legal Name | SOUTHERN CALIFORNIA ORTHOPEDIC INSTITUTE L.P |
| Group Practice Pac Id | 4082513189 |
| Number Of Group Practice Members | 93 |
| Line 1 Street Address | 6815 NOBLE AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | VAN NUYS |
| State | CA |
| Zip Code | 914053730 |
| Phone Number | 8189016600 |
| Hospital Affiliation Ccn 1 | 050116 |
| Hospital Affiliation Lbn 1 | NORTHRIDGE HOSPITAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 050624 |
| Hospital Affiliation Lbn 2 | HENRY MAYO NEWHALL HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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