Mark Costopoulos Dpm

LBN: Mark Costopoulos Dpm
Mark Costopoulos Dpm is an health care organization with primary practice located at 608 N Sepulveda Blvd , Manhattan Beach CA 90266-5921. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Mark Costopoulos Dpm can be contacted via phone (310) 376-3668, or through Costopoulos, Mark via phone (310) 376-3668.

Contact Information

Primary practice address
608 N Sepulveda Blvd Manhattan Beach CA 90266-5921
Phone: (310) 376-3668
Fax: (310) 376-8777
Website:
Map and Directions
Authorized official contact:
Name: Costopoulos, Mark Doctor of Podiatric Medicine (DPM)
Phone: (310) 376-3668

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E2607 California

Profile Details

NPI number 1235300310
LBN Legal business name Mark Costopoulos Dpm
DBA Doing business as
Authorized official Costopoulos, Mark Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2008
Last updated Mar 18th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235300310 NPPES
California MEDICAID 000E26070
California Other E2607A

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