Individual provider · Type 1 NPI

Jack Mark, CPO

Prosthetist · Los Angeles, CA

NPI number 1699228619 Active

Practice location

3160 Geneva St
Los Angeles, CA 90020-1117

Call (213) 368-3374 Map

Specialties and licenses

TaxonomyCodeLicense
Orthotist 222Z00000XCPO01066 (DE)
Prosthetist Primary 224P00000XCPO01066 (DE)

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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About NPI 1699228619

Jack Mark, CPO's National Provider Identifier is 1699228619, issued on Jul 26, 2016. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 26, 2016.