MARK EDMOND RIERSON LAC
NPI 1376040923
Specialist in San Diego, CA

Q: What is Mark Rierson's NPI number?

The NPI number for Mark Rierson is 1376040923. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Q: What is Mark Rierson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Rierson was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 10, 2018

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2023, Sep 26, 2022, Jun 19, 2020 and 1 more (4 updates tracked since 2018).

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About Mark Edmond Rierson Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK EDMOND RIERSON LAC (NPI 1376040923) is an individual specialist in San Diego, California, licensed in California (9587) and active in the NPI registry since April 2018. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1376040923

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMARK EDMOND RIERSONCredential: LAC

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressPo Box 232410San Diego, CA 92193-2410

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorYes

Enumeration DateApril 10, 2018

Last NPPES UpdateMarch 30, 20234 updates tracked since enumeration

NPPES CertifiedMarch 30, 2023

✔ NPI 1376040923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in CA · 9587

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

200 W ARBOR DR, San Diego, CA 92103

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Secondary Practice Location 1

Location 12333 1st Ave Ste 106San Diego, CA 92101-1538 · Phone (619) 786-8396 · Fax (619) 924-4232

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMIN MOTARJEMI M.D.

Internal Medicine (Geriatric Medicine)