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Mark Ricks

NPI 1235485442 · on the registry since 2012 · sole proprietor

Practice

Address
1210 S Gramercy Pl
Los Angeles, CA 90019
Phone
(818) 613-5802

Registry record

Primary taxonomy
225400000X
225400000X
Sex
Male
Record last updated
2012-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California