Search › California › Sports Medicine (Orthopaedic Surgery) Physician
Mark Wellisch, M.D
NPI 1982685996 · on the registry since 2005
Practice
- Address
- 16311 Ventura Blvd
Suite 800
Encino, CA 91436 - Phone
- (818) 788-7343
- Fax
- (818) 788-9453
- Organisation at this address
- Kc Medical
Raeesy Md Inc
3v Medical, Inc.
Abc Pharmacy Inc
Adrian Yi Md, IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 109
Registry record
- Primary taxonomy
- Sports Medicine (Orthopaedic Surgery) Physician
207XX0005X
- Also registered as
- Orthopaedic Surgery Physician
Pediatric Sports Medicine Physician - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California