Mark L Labowe M D a Prof Corp

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

G52484 Issued in CA

Legal business name

MARK L LABOWE M D A PROF CORP

Practice address

12301 Wilshire Blvd
Suite 325
Los Angeles, CA 90025-1007

Phone

(310) 824-2550

Fax

(310) 824-7050

NPI assigned

Aug 31, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark L Labowe, M.D.NPI 1952335002

Title

President

Phone

(310) 824-2550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Lawrence Labowe, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Los Angeles, CA
  • NPI 1952335002
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1851607642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD",
            "address_2": "SUITE 325",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251007",
            "telephone_number": "310-824-2550",
            "fax_number": "310-824-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 WILSHIRE BLVD",
            "address_2": "SUITE 325",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251007",
            "telephone_number": "310-824-2550",
            "fax_number": "310-824-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK L LABOWE M D A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "LABOWE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-824-2550",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "G52484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Davidson MD Inc
• Mark Fairfield, LCSW, BCD, a Licensed Clinical Social Work Corporation
• Mark H. Hyman M.D, Inc
• Mark J. Spoonamore M.D., Inc.
• Mark K. Sakakura, DDS., a Professional Corporation
• Mark Lensky MD Inc
• Mark R. Weiss, D.P.M.
• Mark S Yafai DDS MD Inc
• Mark S. Laska, D.D.S.
• Mark Song MD PHD Inc

• Plastic and Reconstructive Surgery Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.