Mark Costopoulos Dpm
LBN: Mark Costopoulos Dpm
Mark Costopoulos Dpm is an health care organization with primary practice located at 6333 Wilshire Blvd Suite 304, Los Angeles CA 90048-5702. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, 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
6333 Wilshire Blvd Suite 304
Los Angeles CA 90048-5702
Phone: (310) 376-3668
Fax: (310) 376-8777
Website:
Authorized official contact:
Name: Costopoulos, Mark Doctor of Podiatric Medicine (DPM)
Phone: (310) 376-3668
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E2607 | California |
Profile Details
| NPI number | 1548446883 |
|---|---|
| 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 | Jan 16th, 2008 |
| Last updated | Feb 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548446883 | NPPES |
| California | Other | 4800033100 | RAILROAD MEDICARE |
| California | Other | E2607B | RAILROAD MEDICARE |
| California | MEDICAID | 000E26071 | RAILROAD MEDICARE |
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