National Provider Identifier Database

JACK MARK, CPO – NPI #1699228619
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

JACK MARK, CPO
3160 GENEVA ST
LOS ANGELES, CA90020-1117
Phone: 213-368-3374
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X
Orthotist 222Z00000X

* Indicates primary specialty

NPI Profile & details for JACK MARK

NPI Number 1699228619
Credentials CPO
Entity Individual
Enumeration date 07/26/2016
Last updated 07/26/2016 - About 10 years ago
Sole proprietor1 No
Identifiers
  • DE License #: CPO01066
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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