Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mark Ricks

Individual provider Rehabilitation Practitioner · NPI 1235485442

Mark Ricks is a Rehabilitation Practitioner in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

1210 S Gramercy Pl
Los Angeles, CA 90019-3637
Phone: (818) 613-5802
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1235485442
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2012
Last updated in NPPESJuly 25, 2012

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