Mark A. Brim is a Podiatrist in Encino, California. Mark A. Brim practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mark A. Brim is 1396776092. The last update date is 2015-09-10.
Mark A. Brim's current location address is 17200 Ventura Blvd Ste 207, Encino, California. You can contact this provider via phone number 8187833338 and fax number 8185831444. The mailing address for Mark A. Brim is 17200 Ventura Blvd Ste 207, Encino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A. Brim |
|---|---|
| Address | 17200 Ventura Blvd Ste 207, Encino, California |
| Phone Number | 8187833338 |
| Fax Number | 8185831444 |
| Sole Proprietor | Y |
| Credentials | D.P.M |
NPI Number Detail
| NPI Number | 1396776092 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2015-09-10 |
Provider Mailing Address Detail
| Address | 17200 Ventura Blvd Ste 207 |
|---|---|
| City | Encino |
| State | California (CA) |
| Post Code | 913164096 |
| Phone Number | 8187833338 |
| Fax Number | 8185831444 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | E1542 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00E15420 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark A. Brim by the Centers for Medicare & Medicaid Services?
The Mark A. Brim has been assigned the NPI (National Provider Identifier) 1396776092 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Mark A. Brim is located?
The Mark A. Brim is situated at the following address: 17200 Ventura Blvd Ste 207, Encino, CA, 913164096.
What is Mark A. Brim's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark A. Brim is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396776092 to Mark A. Brim?
The Mark A. Brim received its 1396776092 assignment from the Centers for Medicare & Medicaid Services on 2006-07-05.
As of what date was the information pertaining to Mark A. Brim, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark A. Brim, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-09-10.