MARK R. EZEKIEL, M.D., A MEDICAL CORPORATION


Address: 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405
Phone: 3103623162

MARK R. EZEKIEL, M.D., A MEDICAL CORPORATION (NPI# 1255528857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255528857
Entity Type Organization
Organization Name MARK R. EZEKIEL, M.D., A MEDICAL CORPORATION
Practice Address 5750 Downey Ave
Suite 306
Lakewood
CA 90712-1405
Mailing Address 2711 N Sepulveda Blvd
#320
Manhattan Beach
CA 90266-2725
Practice Telephone 3103623162
Mailing Telephone 3103623162
Enumeration Date 2007-09-27
Last Update Date 2009-06-09
Authorized Official Name DR. MARK R EZEKIEL (PRESIDENT)
Authorized Official Telephone 3103623162
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207LP2900X Anesthesiology
Specialization: Pain Medicine
G72866 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 5750 DOWNEY AVE
SUITE 306
City LAKEWOOD
State CA
Zip Code 90712-1405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518927540 Josephine B Saad Obstetrics & Gynecology 5750 Downey Ave, Suite 201, Lakewood, CA 90712-1405 2006-03-24
1902331861 Sterling Hospitalist Medical Group, Inc. Clinic/Center 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1405 2017-04-27
1588030951 Prohealth Partners A Medical Group Inc Family Medicine 5750 Downey Ave, Suite 206, Lakewood, CA 90712-1405 2015-08-19
1760747273 Tms Wellness Group Psychiatry & Neurology 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1405 2012-07-10
1720249691 James Anthony Kim Anesthesiology 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405 2008-06-23
1902098304 Gary L Baker Md A Professional Corporation Specialist 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405 2007-08-10
1093848509 Prohealth Partners, A Medical Group Dermatology 5750 Downey Ave, Suite 100, Lakewood, CA 90712-1405 2007-03-13
1588712541 Jose Mendoza Pediatrics 5750 Downey Ave, Suite 204, Lakewood, CA 90712-1405 2007-01-08
1568526689 Edgar A Abbes Podiatrist 5750 Downey Ave, Suite 203, Lakewood, CA 90712-1405 2006-12-21
1194898130 Soad A Salam Physical Therapist 5750 Downey Ave, Suite 301, Lakewood, CA 90712-1405 2006-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689289944 Createwellness LLC Social Worker 5250 Hayter Avenue, Lakewood, CA 90712 2020-09-14
1801451398 Marilou Toquero Dental Corp Durable Medical Equipment & Medical Supplies 3203 Carson St Suite 2, Lakewood, CA 90712 2019-05-09
1225510126 N Ozder Dental Practice Inc Clinic/Center 5037 Lakewood Blvd, Lakewood, CA 90712 2018-09-06
1003394446 Robert Michael Schlesinger Counselor 5150 Candlewood St Ste 13a, Lakewood, CA 90712 2018-07-28
1316439847 P.r.i.s.m. Institute Inc. Chiropractor 5233 Premiere Ave, Lakewood, CA 90712 2018-05-31
1316477938 Broadleaf Healthcare Orthotist 4345 Levelside Ave, Lakewood, CA 90712 2017-06-15
1679008049 Adrienne Yoshiko Doi Podiatrist 3700 East South Street, Lakewood, CA 90712 2017-04-24
1841747334 Garrison R Weaver-gourdeau Chiropractor 4115 E. South St, Lakewood, CA 90712 2016-09-01
1073967394 Mirna S Rizkalla Family Medicine 3650 South St Ste 404, Lakewood, CA 90712 2016-04-22
1841657251 Roxanna Jimenez Rehabilitation Practitioner 5818 Clark Ave, Lakewood, CA 90712 2016-01-15
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Taxonomy Information

Taxonomy Code 207LP2900X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology
Specialization Pain Medicine

Taxonomy Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942819578 Catholic Health Initiatives Colorado Anesthesiology 11700 W 2nd Pl Ste 225, Lakewood, CO 80228-1707 2020-07-29
1033300140 Jack B Rentz Anesthesiology 300 Union Blvd, Suite 260, Lakewood, CO 80228-1535 2007-08-05
1881664944 Bradley D Vilims Anesthesiology 325 Teller St, Suite 240, Lakewood, CO 80226-1606 2006-01-23
1487630059 Robert E Brown Anesthesiology 12596 W Bayaud Ave Ste 205, Lakewood, CO 80228-2000 2005-12-15
1790785921 Moises Kaweblum Anesthesiology 500 River Ave, Suite 255, Lakewood, NJ 08701-4738 2005-07-29
1427695881 Regeneration, LLC Anesthesiology 12596 W Bayaud Ave Ste 205, Lakewood, CO 80228-2000 2019-12-04
1851719421 Andrew Koogler Anesthesiology 11306 Bridgeport Way Sw Ste D, Lakewood, WA 98499-3037 2014-04-01
1265674287 Marchyarn Mahathanaruk Anesthesiology 300 Union Blvd, Suite 600, Lakewood, CO 80228-1535 2009-04-06
1720249691 James Anthony Kim Anesthesiology 5750 Downey Ave, Suite 306, Lakewood, CA 90712-1405 2008-06-23
1346453081 David Chang, Md, Inc Anesthesiology 3700 South St, Lakewood, CA 90712-1419 2007-05-08
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Competitor

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City LAKEWOOD
Zip Code 90712

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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