MARK COSTOPOULOS DPM NPI 1548446883

NPI Information

MARK COSTOPOULOS DPM is a podiatrist in Los Angeles, CA. The provider is 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 and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MARK COSTOPOULOS DPM NPI is 1548446883. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6333 WILSHIRE BLVD
SUITE 304
LOS ANGELES, CA
ZIP 90048-702
Phone: (310) 376-3668
Fax: (310) 376-8777

The provider's authorized official is Mark Costopoulos .
The authorized official title is Owner/podiatrist and has the following contact phone number (310) 376-3668.

The enumeration date for this NPI number is 1/16/2008 and was last updated on 2/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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