Mark Mako is a Physical Therapist in Simi Valley, California. Mark Mako practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Mark Mako is 1013961275. The last update date is 2007-09-20.
Mark Mako's current location address is 2585 Cochran St, Simi Valley, California. You can contact this provider via phone number 8055840001 and fax number 8055279135. The mailing address for Mark Mako is 2585 Cochran St, Simi Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Mako |
|---|---|
| Address | 2585 Cochran St, Simi Valley, California |
| Phone Number | 8055840001 |
| Fax Number | 8055279135 |
| Sole Proprietor | N |
| Credentials | P.T., O.C. |
NPI Number Detail
| NPI Number | 1013961275 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2007-09-20 |
Provider Mailing Address Detail
| Address | 2585 Cochran St |
|---|---|
| City | Simi Valley |
| State | California (CA) |
| Post Code | 930652602 |
| Phone Number | 8055840001 |
| Fax Number | 8055279135 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT 15347 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 77057605493065A | CA | TRICARE | |
| PT00015347 | CA | BLUE CROSS OF CA | |
| 0PT153470 | CA | BLUE SHIELD OF CA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark Mako by the Centers for Medicare & Medicaid Services?
The Mark Mako has been issued the NPI (National Provider Identifier) 1013961275, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Mark Mako located?
The Mark Mako is located at 2585 Cochran St, Simi Valley, CA 930652602.
What is Mark Mako's area of expertise and its corresponding taxonomy classification?
The Mark Mako's field of specialization is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their areas of practice.
When did the Mark Mako receive its 1013961275?
The Mark Mako was issued its 1013961275 on 2006-05-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Mark Mako, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Mako, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-20.