MR. JACK MARK, CPO
Prosthetist
Active
Individual
NPI: 1699228619
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Orthotist | 222Z00000X | No | CPO01066 (DE) |
| Prosthetist | 224P00000X | Yes | CPO01066 (DE) |
Frequently Asked Questions
NPI 1699228619 is the National Provider Identifier for MR. JACK MARK, CPO, a Prosthetist provider located in Los Angeles, CA. This NPI was enumerated on July 26, 2016.
MR. JACK MARK, CPO practices at 3160 GENEVA ST, Los Angeles, CA 90020.
Quick Facts
- NPI
- 1699228619
- Type
- Individual
- Enumerated
- Jul 26, 2016
- Last Updated
- Jul 26, 2016
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