# MARK R. WEISS, D.P.M.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Century Park East Foot and Ankle Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902081193
- **Authorized official:** DR. MARK R. WEISS D.P.M. (OWNER)
- **Authorized official phone:** (310) 553-7371

## Contact information

- **Practice address:** 2080 CENTURY PARK E, SUITE 605, LOS ANGELES, CA 90067-2001
- **Practice address phone:** (310) 553-7371
- **Practice address fax:** (310) 553-9722
- **Mailing address:** 2080 CENTURY PARK E, SUITE 605, LOS ANGELES, CA 90067-2001
- **Mailing address phone:** (310) 553-7371
- **Mailing address fax:** (310) 553-9722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E1442 | CA | Yes |

## Other

- **Enumeration date:** 01/07/2008
- **Last updated:** 06/20/2008