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MR. JACK MARK CPO
NPI 1699228619
Prosthetist in Los Angeles, CA

Active since July 26, 2016
3160 GENEVA ST, LOS ANGELES, CA 90020(213) 368-3374 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jack Mark Cpo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACK MARK CPO (NPI 1699228619) is an individual prosthetist provider in Los Angeles, California, licensed in Delaware (CPO01066) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1699228619
Entity TypeIndividualMale
Primary Taxonomy224P00000X
Provider Legal NameMR. JACK MARKCredential: CPO
Location Address3160 GENEVA STLos Angeles, CA 90020-1117
Mailing Address3160 Geneva StLos Angeles, CA 90020-1117 · (213) 368-3374
Phone(213) 368-3374
Sole ProprietorNo
Enumeration DateJuly 26, 2016
✔ NPI 1699228619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
License✔ Licensed in DE · CPO01066
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Also ListedOrthotistTaxonomy 222Z00000X · License CPO01066 (DE)
3160 GENEVA ST, Los Angeles, CA 90020
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALMA LUNA WELLS MD
Anesthesiology
3160 GENEVA ST
LOS ANGELES, CA 90020
Los Angeles County (818) 813-4061
HUGH WATTS MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
3160 GENEVA ST
LOS ANGELES, CA 90020
Los Angeles County (213) 368-3338
SHRINERS HOSPITALS FOR CHILDREN-A COLORADO CORPORATION
Pharmacy (Institutional Pharmacy)
3160 GENEVA ST
LOS ANGELES, CA 90020
Los Angeles County (213) 368-3340
SHRINERS HOSPITALS FOR CHILDREN
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
3160 GENEVA ST
LOS ANGELES, CA 90020
Los Angeles County (213) 348-3350
GENEVA MEDICAL GROUP, INC.
Clinic/Center
3160 GENEVA ST
LOS ANGELES, CA 90020
Los Angeles County (213) 388-6168
DR. ARASH ARI ARSHI PHARMD
Pharmacist
3160 GENEVA ST, PHARMACY DEPARTMENT
LOS ANGELES, CA 90020
Los Angeles County (213) 368-3340
MS. NANCY CARNEY
Occupational Therapist
3160 GENEVA ST
LOS ANGELES, CA 90020
Los Angeles County (213) 368-3384
MAHNAZ BROUKHIM MD
Anesthesiology
3160 GENEVA ST
LOS ANGELES, CA 90020
Los Angeles County (213) 368-3338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Mark's NPI number?

The NPI number for Jack Mark is 1699228619. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is Jack Mark located?

Jack Mark practices at 3160 Geneva St, Los Angeles, CA 90020. The listed phone number is (213) 368-3374.

What is Jack Mark's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Jack Mark was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.