Provider Demographics
NPI:1154596047
Name:MARKS, KATIE L (MD)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:L
Last Name:MARKS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3831 HUGHES AVE STE 600A
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-6843
Mailing Address - Country:US
Mailing Address - Phone:424-603-4544
Mailing Address - Fax:424-603-4546
Practice Address - Street 1:3831 HUGHES AVE STE 600A
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232
Practice Address - Country:US
Practice Address - Phone:424-603-4544
Practice Address - Fax:424-603-4546
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-23
Last Update Date:2024-10-29
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Provider Licenses
StateLicense IDTaxonomies
CAA116095207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine