Mark Costopoulos Dpm in Manhattan Beach - Foot Surgery
Mark Costopoulos Dpm - NPI 1235300310
Mark Costopoulos Dpm is a Foot Surgery in Manhattan Beach, California. Mark Costopoulos Dpm practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Mark Costopoulos Dpm is 1235300310. The last update date is 2008-03-18.
Mark Costopoulos Dpm'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 Dpm is 608 N Sepulveda Blvd, Manhattan Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark Costopoulos Dpm |
|---|---|
| Address | 608 N Sepulveda Blvd, Manhattan Beach, California |
| Phone Number | 3103763668 |
| Fax Number | 3103768777 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Costopoulos Mark |
| Credentials | D.P.M. |
| Telephone Number | 3103763668 |
NPI Number Detail
| NPI Number | 1235300310 |
|---|---|
| Provider Enumeration Date | 2008-03-18 |
| Last Updated Date | 2008-03-18 |
Provider Mailing Address Detail
| Address | 608 N Sepulveda Blvd |
|---|---|
| City | Manhattan Beach |
| State | California (CA) |
| Post Code | 902665921 |
| Phone Number | 3103763668 |
| Fax Number | 3103768777 |
Provider's Primary Taxonomy Detail
| Speciality | Foot Surgery |
|---|---|
| Taxonomy | 213Es0131X |
| Licence No | E2607 |
|
Definition: A doctor of podiatric medicine who specializes in performing foot and ankle surgeries. |
|
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 unique identifier code issued to Mark Costopoulos Dpm by the Centers for Medicare & Medicaid Services?
The Mark Costopoulos Dpm has been assigned the NPI (National Provider Identifier) 1235300310. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mark Costopoulos Dpm is located?
The Mark Costopoulos Dpm is situated at the following address: 608 N Sepulveda Blvd, Manhattan Beach, CA, 902665921.
What is the Mark Costopoulos Dpm's specialty and taxonomy code?
The Mark Costopoulos Dpm's specialty is Foot Surgery, and the corresponding taxonomy code is 213Es0131X.
On what date did the Mark Costopoulos Dpm receive its 1235300310 assignment from the Centers for Medicare & Medicaid Services?
The Mark Costopoulos Dpm was assigned its 1235300310 by the Centers for Medicare & Medicaid Services on 2008-03-18.
As of what date was the information pertaining to Mark Costopoulos Dpm, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Costopoulos Dpm, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-18.
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