# MARK T KIDON DPM FACFAS A PODIATRY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457567570
- **Authorized official:** MARK T KIDON DPM (PRESIDENT)
- **Authorized official phone:** (626) 799-1194

## Contact information

- **Practice address:** 10 CONGRESS ST, STE 410, PASADENA, CA 91105-3045
- **Practice address phone:** (626) 799-1194
- **Practice address fax:** (626) 449-9862
- **Mailing address:** 10 CONGRESS ST, STE 410, PASADENA, CA 91105-3045
- **Mailing address phone:** (626) 799-1194
- **Mailing address fax:** (626) 449-9862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E3196 | CA | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 05/08/2018