Mark Powell, MD Valid NPI
Individual provider · Pediatrics Physician · Pasadena, CA
- NPI
- 1104905850
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- G70304 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-03
- Last updated
- 2019-09-13
Practice location
800 Fairmount Ave, Suite 415
Pasadena, CA 91105-3150
(626) 449-8440