Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK RANDALL SIMS, CCP
ActiveMR. MARK RANDALL SIMS, CCP is a Orthotic Fitter healthcare provider located in SEASIDE, California. NPI 1588785752 is currently active in the NPPES registry. Verify at CMS.
Orthotic Fitter · SEASIDE, CA
Registration Details
- NPI Number
- 1588785752
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2007 (19.339969502449 yrs)
- Last Updated
- Jul 8, 2007
- License
-
930251 (CA)
Practice Information
- Address
-
4950 PENINSULA POINT DRSEASIDE, CA, 939556509Browse CA providers · Browse ZIP 93955
- Phone
- 8313240589
- Fax
- 6506159995
- Primary Specialty
-
Orthotic Fitter
242T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.