Search › California › 2255A2300X
Kevin Mark, ATC, EMT-B
NPI 1518460948 · on the registry since 2018
Practice
- Address
- 1100 N Grand Ave
Walnut, CA 91789 - Phone
- (909) 274-6555
- Organisation at this address
- Mt. San Antonio College
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 7
Additional practice sites
- 9610 Longden Ave, Temple City, CA
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Also registered as
- 146N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-13
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