Mark Tkaczuk

NPI 1740682269 · on the registry since 2014 · sole proprietor

Practice

Address: 5478 Wilshire Blvd Ste 208
Los Angeles, CA 90036
Phone: (323) 936-7525
Organisation at this address: Jc&C
Jc&C, Inc
Stay Ready Inc
Body Rehab Center
Atnep Care-La, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-09-16

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