NPI 1114356375
Mark Corpuz, BSKINESIOLOGYCSCS
Practice location
- Address
- 2464 Fenton Pkwy APT 201, San Diego, CA 92108-6705
- Phone
- (619) 263-0239
- Fax
- (619) 858-2210
- Mailing address
- PO Box 12817, San Diego, CA 92112-3817
Registered specialties
Kinesiotherapist
Primary
Registry record
- NPI
- 1114356375
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Nov 2013
- Record last updated
- 7 Nov 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.