Mark Costopoulos (NPI# 1669477717, PAC ID# 5294850442) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1669477717 |
| PAC ID by PECOS | 5294850442 |
| Professional Enrollment ID | I20100913000354 |
| Full Name | Mark Costopoulos |
| Address |
608 N Sepulveda Blvd Manhattan Beach CA 90266-5921 |
| Phone Number | 3103763668 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 608 N Sepulveda Blvd, Manhattan Beach, CA 90266-5921 | 3103763668 |
| Street Address |
608 N SEPULVEDA BLVD |
| City | MANHATTAN BEACH |
| State | CA |
| Zip | 90266-5921 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph A Karam | General Surgery | 2917 Vista Dr, Manhattan Beach, CA 90266-2069 | |
| Rodney Buchanan | Physical Therapy | 1200 Rosecrans Ave, Suite 206, Manhattan Beach, CA 90266-2451 | |
| Madhu Berman | Allergy/immunology | 1200 Rosecrans Ave, Suite 105, Manhattan Beach, CA 90266-2470 | |
| Harold Kraft | Pain Management | 1200 Rosecrans Ave, Suite 105, Manhattan Beach, CA 90266-2470 | |
| Azita Tabassian | Chiropractic | 1200 Rosecrans Ave, Suite 211, Manhattan Beach, CA 90266-2470 | |
| Keith S Feder | Orthopedic Surgery | 1200 Rosecrans Ave, Suite 208, Manhattan Beach, CA 90266-2470 | |
| Charles H Song | Allergy/immunology | 3113 N Sepulveda Blvd, Suite A, Manhattan Beach, CA 90266-2492 | |
| Audrey R Hill-lindsay | Psychologist, Clinical | 1230 Rosecrans Ave, Suite 300, Manhattan Beach, CA 90266-2494 | |
| Chelsea Canning | Clinical Social Worker | 1230 Rosecrans Ave, Suite 300, Manhattan Beach, CA 90266-2494 | |
| Casey Vacca Sherman | Pediatric Medicine | Uc Regents | 2501 N Sepulveda Blvd, Ucla Dept of Ped Grp, Manhattan Beach, CA 90266-2722 |
| Find all physicians in zip 90266 | |||
| City | MANHATTAN BEACH |
| Zip Code | 90266 |
| Specialty | PODIATRY |
| City + Specialty | MANHATTAN BEACH + PODIATRY |
Please comment or provide details below to improve the information on Mark Costopoulos.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.