Mark Costopoulos DPM

Organization Foot Surgery Podiatrist · NPI 1235300310

Mark Costopoulos DPM provides Foot Surgery Podiatrist services in Manhattan Beach, California. Licensed in California. Registered with an NPI since 2008.

Licensed in: CA
In the registry since: 2008

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Practice location Address checks out

608 N Sepulveda Blvd
Manhattan Beach, CA 90266-5921 Not confirmed with CMS for 18 years — call before visiting
Phone: (310) 376-3668
Fax: (310) 376-8777

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary)	Taxonomy 213ES0131X · Licence E2607 (CA)

Record details

NPI number	1235300310
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Mark Costopoulos — Owner · (310) 376-3668
NPI enumerated	March 18, 2008
Last updated in NPPES	March 18, 2008
Mailing address	608 N Sepulveda Blvd, Manhattan Beach, CA 90266-5921