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Dr. Mark Costopoulos, DPM
Podiatrist in Manhattan Beach, California
NPI 1669477717

Mark Costopoulos is a Podiatrist based in Manhattan Beach, CA. Mark Costopoulos practices in Manhattan Beach, CA and has the professional credentials of DPM. The NPI Number for Mark Costopoulos is 1669477717 and holds a License No. E2607 (California).

The current practice location address for Mark Costopoulos is 608 N Sepulveda Blvd, Manhattan Beach, CA and can be reached out via phone at 310-376-3668 and via fax at 310-376-8777.

Location: 608 N Sepulveda Blvd, Manhattan Beach, CA, 90266-5921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669477717
Provider Name
Mark Costopoulos
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
608 N Sepulveda Blvd, Manhattan Beach, CA, 90266-5921
Phone Number
310-376-3668
Fax Number
310-376-8777
Provider Enumeration Date
06/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E26070 05 CA
E2607A 01 CA MEDICARE LICENSE
institution
Provider Business Practice Location Address Details
Address
608 N Sepulveda Blvd
City
Manhattan Beach
State
California
Zip
90266-5921
Phone Number
310-376-3668
Fax Number
310-376-8777
person
Provider Business Mailing Address Details
Address
608 N Sepulveda Blvd
City
Manhattan Beach
State
California
Zip
90266-5921
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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