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Contact Information

MARK JESINOSKI, PHD., LLC
205 N MAIN AVE
FALLBROOK, CA92028
 Phone: 858-414-1141
 Fax: 888-578-9808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARK JESINOSKI, PHD., LLC

NPI # 1356047187
LBN Legal business name MARK JESINOSKI, PHD., LLC
Authorized official KATHY O'NEAL - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2023
Last updated 02/02/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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