| Mark Costopoulos Dpm | |
|
608 N Sepulveda Blvd, Manhattan Beach, CA 90266-5921 | |
| (310) 376-3668 | |
| (310) 376-8777 |
| Full Name | Mark Costopoulos Dpm |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 608 N Sepulveda Blvd, Manhattan Beach, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235300310 | NPI | - | NPPES |
| 000E26070 | Medicaid | CA | |
| E2607A | Other | CA | MEDICARE LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | E2607 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Costopoulos Dpm 608 N Sepulveda Blvd, Manhattan Beach, CA 90266-5921 Ph: (310) 376-3668 | Mark Costopoulos Dpm 608 N Sepulveda Blvd, Manhattan Beach, CA 90266-5921 Ph: (310) 376-3668 |
University Foot And Ankle Institute A Podiatric Surgical Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1101 Sepulveda Blvd, Suite 104, Manhattan Beach, CA 90266 Phone: 310-828-0011 Fax: 310-828-2001 | |
Dr. Mark Costopoulos, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 608 N Sepulveda Blvd, Manhattan Beach, CA 90266 Phone: 310-376-3668 Fax: 310-376-8777 | |
Marcia Matika, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 500 S Sepulveda Blvd, Ste 303, Manhattan Beach, CA 90266 Phone: 310-530-5729 Fax: 310-530-5707 | |
Natasha Hands, Podiatrist Medicare: Medicare Enrolled Practice Location: 633 13th St, Manhattan Beach, CA 90266 Phone: 310-351-6713 |