Kidon, Mark T

Kidon, Mark T is an sole proprietor health care provider with primary practice located at 10 Congress St #410, Pasadena CA 91105. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Kidon, Mark T can be contacted via phone (626) 799-1194.

Contact Information

Primary practice address
10 Congress St #410 Pasadena CA 91105
Phone: (626) 799-1194
Fax: (626) 449-9862
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3196 California

Profile Details

NPI number 1700999810
LBN Legal business name Kidon, Mark T
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Feb 12th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700999810 NPPES
California Other E3196 STATE LICENSE
California MEDICAID 00E1960 STATE LICENSE

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