Provider Demographics
NPI:1821242165
Name:PINTO, MARK (MS, CGC)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:
Last Name:PINTO
Suffix:
Gender:M
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 N SAN VICENTE BLVD
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90048-1810
Mailing Address - Country:US
Mailing Address - Phone:323-423-9373
Mailing Address - Fax:323-423-9399
Practice Address - Street 1:310 N SAN VICENTE BLVD
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90048-1810
Practice Address - Country:US
Practice Address - Phone:323-423-9373
Practice Address - Fax:323-423-9399
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS