Mark Costopoulos in Manhattan Beach - Podiatrist
Mark Costopoulos - NPI 1669477717
Mark Costopoulos is a Podiatrist in Manhattan Beach, California. Mark Costopoulos practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mark Costopoulos is 1669477717. The last update date is 2008-10-27.
Mark Costopoulos's current location address is 608 N Sepulveda Blvd, Manhattan Beach, California. You can contact this provider via phone number 3103763668 and fax number 3103768777. The mailing address for Mark Costopoulos is 608 N Sepulveda Blvd, Manhattan Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Costopoulos |
|---|---|
| Address | 608 N Sepulveda Blvd, Manhattan Beach, California |
| Phone Number | 3103763668 |
| Fax Number | 3103768777 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1669477717 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2008-10-27 |
Provider Mailing Address Detail
| Address | 608 N Sepulveda Blvd |
|---|---|
| City | Manhattan Beach |
| State | California (CA) |
| Post Code | 9026659210 |
| Phone Number | 3103763668 |
| Fax Number | 3103768777 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | E2607 |
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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 |
|---|---|---|---|
| 000E26070 | CA | -- | |
| E2607A | CA | MEDICARE LICENSE |
Post Comment/ Review Below
What is the Mark Costopoulos's 1669477717?
The Mark Costopoulos's NPI (National Provider Identifier) Number is 1669477717. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark Costopoulos is located?
The Mark Costopoulos is situated at the following address: 608 N Sepulveda Blvd, Manhattan Beach, CA, 9026659210.
What is Mark Costopoulos's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Costopoulos's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1669477717 to Mark Costopoulos?
The Mark Costopoulos received its 1669477717 assignment from the Centers for Medicare & Medicaid Services on 2005-06-16.
As of what date was the information regarding Mark Costopoulos, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark Costopoulos, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-10-27.