| Mark Costopoulos Dpm | |
|
6333 Wilshire Blvd, Suite 304, Los Angeles, CA 90048-5702 | |
| (310) 376-3668 | |
| (310) 376-8777 |
| Full Name | Mark Costopoulos Dpm |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 6333 Wilshire Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548446883 | NPI | - | NPPES |
| 4800033100 | Other | CA | RAILROAD MEDICARE |
| E2607B | Other | CA | MEDICARE LICENSE |
| 000E26071 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E2607 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Costopoulos Dpm 6333 Wilshire Blvd, Suite 304, Los Angeles, CA 90048-5702 Ph: (310) 376-3668 | Mark Costopoulos Dpm 6333 Wilshire Blvd, Suite 304, Los Angeles, CA 90048-5702 Ph: (310) 376-3668 |
West Beverly Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3545 Griffith Park Blvd, Los Angeles, CA 90027 Phone: 323-664-4331 Fax: 323-664-4331 | |
Steve M Tung, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3616 E 1st St, Los Angeles, CA 90063 Phone: 323-264-6157 | |
University Podiatry Group, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 100 Ucla Medical Plz, #460, Los Angeles, CA 90095 Phone: 310-443-8999 Fax: 310-208-4847 | |
Western Foot & Ankle Center Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 966 S Western Ave Ste 205, Los Angeles, CA 90006 Phone: 323-733-1500 Fax: 323-733-1724 | |
Dr. Pegah Samouhi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Los Angeles, CA 90048 Phone: 310-657-2828 | |
Charles E Ananian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3616 E 1st St, Los Angeles, CA 90063 Phone: 323-264-6157 Fax: 323-264-0099 | |
Schlomo Schmuel, Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 2711 W Sunset Blvd, Los Angeles, CA 90026 Phone: 213-483-4246 Fax: 213-483-7257 |