MARK ENSELMAN PA-S
NPI 1821649591
Student in an Organized Health Care Education/Training Program in Fullerton, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since September 24, 2019

2575 YORBA LINDA BLVD, FULLERTON, CA 92831(714) 449-7400 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mark Enselman Pa-s NPPES

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

MARK ENSELMAN PA-S (NPI 1821649591) is an individual student in an organized health care education/training program in Fullerton, California and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1821649591

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMARK ENSELMANCredential: PA-S

Location Address2575 YORBA LINDA BLVDFullerton, CA 92831-1615

Mailing Address2575 Yorba Linda BlvdFullerton, CA 92831-1615 · (714) 449-7400

Phone(714) 449-7400

Sole ProprietorYes

Enumeration DateSeptember 24, 2019

✔ NPI 1821649591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2575 YORBA LINDA BLVD, Fullerton, CA 92831

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