Mark Costopoulos Dpm in Los Angeles - Podiatrist
Mark Costopoulos Dpm - NPI 1548446883
Mark Costopoulos Dpm is a Podiatrist in Los Angeles, California. Mark Costopoulos Dpm practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mark Costopoulos Dpm is 1548446883. The last update date is 2008-02-26.
Mark Costopoulos Dpm's current location address is 6333 Wilshire Blvd, Los Angeles, California. You can contact this provider via phone number 3103763668 and fax number 3103768777. The mailing address for Mark Costopoulos Dpm is 6333 Wilshire Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark Costopoulos Dpm |
|---|---|
| Address | 6333 Wilshire Blvd, Los Angeles, California |
| Phone Number | 3103763668 |
| Fax Number | 3103768777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PODI |
|---|---|
| Authorized Official Name | Costopoulos Mark |
| Credentials | DPM |
| Telephone Number | 3103763668 |
NPI Number Detail
| NPI Number | 1548446883 |
|---|---|
| Provider Enumeration Date | 2008-01-16 |
| Last Updated Date | 2008-02-26 |
Provider Mailing Address Detail
| Address | 6333 Wilshire Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900485702 |
| Phone Number | 3103763668 |
| Fax Number | 3103768777 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | E2607 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4800033100 | CA | RAILROAD MEDICARE | |
| E2607B | CA | MEDICARE LICENSE | |
| 000E26071 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mark Costopoulos Dpm by the Centers for Medicare & Medicaid Services?
The Mark Costopoulos Dpm has been issued the NPI (National Provider Identifier) 1548446883. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mark Costopoulos Dpm's physical address?
The Mark Costopoulos Dpm is physically located at 6333 Wilshire Blvd, in the city of Los Angeles, CA, with the postal code 900485702.
What is Mark Costopoulos Dpm'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 Costopoulos Dpm is Podiatrist, and the taxonomy classification code that categorizes this area of expertise is 213E00000X.
When did Mark Costopoulos Dpm receive its 1548446883 assignment?
The Mark Costopoulos Dpm was assigned its 1548446883 on 2008-01-16, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mark Costopoulos Dpm most recently updated or revised?
The information pertaining to Mark Costopoulos Dpm, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-26.