Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DYDASCO
Active Sole ProprietorMARK DYDASCO is a Athletic Trainer healthcare provider located in THOUSAND OAKS, California. NPI 1720518608 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · THOUSAND OAKS, CA
Registration Details
- NPI Number
- 1720518608
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2017 (9.1276661591618 yrs)
- Last Updated
- Jun 14, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
3680 CAMPUS DRIVETHOUSAND OAKS, CA, 91360Browse CA providers · Browse ZIP 91360
- Phone
- 8056223035
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in THOUSAND OAKS, CA
| Name | Credential | NPI |
|---|---|---|
| MRS. KECIA ANN DAVIS | ATC | 1447214739 |
| MS. HEIDI MARIE STEVENS | ATC | 1265496558 |
| MR. CHARLES JOSEPH APLIN III | A.T.C. | 1437372216 |
| MR. JOSHUA MICHAEL | ATC | 1093100885 |
| MR. BRYAN TRAN | ATC | 1912350190 |
| ANNA GARDUNO | ATC | 1023548989 |
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.