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Search › California › 224P00000X

Jack Mark, CPO

NPI 1699228619 · on the registry since 2016

Practice

Address
3160 Geneva St
Los Angeles, CA 90020
Phone
(213) 368-3374
Organisation at this address
Ks Medical Group, Inc.
Geneva Medical Group, Inc.
Shriners Hospitals For Children
Shriners Hospitals For Children-A Colorado Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Registry record

Primary taxonomy
224P00000X
224P00000X
Also registered as
222Z00000X
Licence states on file
DE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-26

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