Individual provider · Type 1 NPI

Mario G. Porciello-Donnarumma, DPM

Foot & Ankle Surgery Podiatrist · Santa Monica, CA

NPI number 1790309672 Active

Practice location

2121 Wilshire Blvd Ste 101
Santa Monica, CA 90403-5742

Call (310) 828-0011 Map

Fax (310) 828-2001

Mailing address

PO Box 841868
Los Angeles, CA 90084-1868

Other practice locations

  • 704 N Harbor Blvd, Fullerton, CA 92832-1520 · (949) 272-0007

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE5925 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1790309672

Mario G. Porciello-Donnarumma, DPM's National Provider Identifier is 1790309672, issued on Jun 5, 2020. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Santa Monica, CA. The record was last updated on Sep 22, 2026.