Provider Demographics
NPI:1194519371
Name:MARK PUNZAL COACHING LLC
Entity type:Organization
Organization Name:MARK PUNZAL COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:PUNZAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-563-1647
Mailing Address - Street 1:2236 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BENICIA
Mailing Address - State:CA
Mailing Address - Zip Code:94510-2107
Mailing Address - Country:US
Mailing Address - Phone:707-563-1647
Mailing Address - Fax:
Practice Address - Street 1:2236 1ST ST
Practice Address - Street 2:
Practice Address - City:BENICIA
Practice Address - State:CA
Practice Address - Zip Code:94510-2107
Practice Address - Country:US
Practice Address - Phone:707-563-1647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty