Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Enselman, PA-S

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821649591

Mark Enselman, PA-S is a Student in an Organized Health Care Education/Training Program in Fullerton, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

2575 Yorba Linda Blvd
Fullerton, CA 92831-1615
Phone: (714) 449-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1821649591
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-S
Sole proprietorYes
NPI enumeratedSeptember 24, 2019
Last updated in NPPESSeptember 24, 2019
Mailing address2575 Yorba Linda Blvd, Fullerton, CA 92831-1615

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