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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK IAN BRENIS, DPM

Active Sole Proprietor

DR. MARK IAN BRENIS, DPM is a Podiatrist healthcare provider located in WATSONVILLE, California. NPI 1801858048 is currently active in the NPPES registry. Verify at CMS.

Podiatrist · WATSONVILLE, CA

Registration Details

NPI Number
1801858048
Provider Type
Individual
Gender
Male
NPI Issued
Apr 4, 2006 (20.401390757805 yrs)
Last Updated
Aug 31, 2016
Licenses
E3289 (CA)
E3289 (CA)
E3289 (CA)
E3289 (CA)
Sole Proprietor
Yes

Practice Information

Address
47 PENNY LN
SUITE 1
WATSONVILLE, CA, 950766055
Browse CA providers · Browse ZIP 95076
Phone
8317288844
Fax
8317631001
Primary Specialty
Podiatrist
213E00000X
Additional Specialty
Radiology Podiatrist
Additional Specialty
Sports Medicine Podiatrist
Additional Specialty
Foot Surgery Podiatrist

Other Podiatrist Providers in WATSONVILLE, CA

Name Credential NPI
YUXI GUAN 1124656137
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.