Individual
DR. MARK REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1275N ROSE DR 136, PLACENTIA, CA 92870-3919
(714) 528-3668
(714) 528-0739
Mailing address
1275N ROSE DR 136, PLACENTIA, CA 92870-3919
(714) 528-3668
(714) 528-0739
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0378480001
DMERC SUPPLER NUMBER
CA
01
—
19003
DMERC CONTRACTOR NUMBER
CA
Enumeration date
12/22/2005
Last updated
12/04/2023
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