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

Mr. Jack Mark, CPO

Individual provider Orthotist · NPI 1699228619

Mr. Jack Mark, CPO is an Orthotist in Los Angeles, California. Licensed in Delaware. Registered with an NPI since 2016.

Licensed in
DE
In the registry since
2016
Specialties on file
2

Practice location Address checks out

3160 Geneva St
Los Angeles, CA 90020-1117
Phone: (213) 368-3374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetist (primary) Taxonomy 224P00000X · Licence CPO01066 (DE)
Orthotist Taxonomy 222Z00000X · Licence CPO01066 (DE)

Record details

NPI number1699228619
Entity typeIndividual (Type 1)
GenderMale
Credentials CPO
Sole proprietorNo
NPI enumeratedJuly 26, 2016
Last updated in NPPESJuly 26, 2016

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