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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184205395

Mark Replogle is a Student in an Organized Health Care Education/Training Program in Corona, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

482 N Main St Ste 101
Corona, CA 92878-3452
Phone: (951) 493-2150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 35319 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184205395
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2021
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address19660 Carmelita Ave, Corona, CA 92881-4304

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