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Mark Costopoulos Dpm
Podiatrist in Los Angeles, California
NPI 1548446883

Mark Costopoulos Dpm is a Podiatrist based in Los Angeles, CA. Mark Costopoulos Dpm practices in Los Angeles, CA. The NPI Number for Mark Costopoulos Dpm is 1548446883 and holds a License No. E2607 (California).

The current practice location address for Mark Costopoulos Dpm is 6333 Wilshire Blvd, Los Angeles, CA and can be reached out via phone at 310-376-3668 and via fax at 310-376-8777.

Location: 6333 Wilshire Blvd, Los Angeles, CA, 90048-5702
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548446883
Provider Name
Mark Costopoulos Dpm
Credential
Provider Entity Type
Organization
Address
6333 Wilshire Blvd, Los Angeles, CA, 90048-5702
Phone Number
310-376-3668
Fax Number
310-376-8777
Provider Enumeration Date
01/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4800033100 01 CA RAILROAD MEDICARE
E2607B 01 CA MEDICARE LICENSE
000E26071 05 CA
institution
Provider Business Practice Location Address Details
Address
6333 Wilshire Blvd
City
Los Angeles
State
California
Zip
90048-5702
Phone Number
310-376-3668
Fax Number
310-376-8777
person
Provider Business Mailing Address Details
Address
6333 Wilshire Blvd
City
Los Angeles
State
California
Zip
90048-5702
Phone Number
310-376-3668
Fax Number
310-376-8777
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
E2607 (California)
Definition
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.
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