institution
Providence Podiatry Care, Inc.
Foot & Ankle Surgery Podiatrist in Rancho Cucamonga, California
NPI 1033881735

Providence Podiatry Care, Inc. is a Foot & Ankle Surgery Podiatrist based in Rancho Cucamonga, CA and is specialized in Foot & Ankle Surgery. Providence Podiatry Care, Inc. practices in Rancho Cucamonga, CA. The NPI Number for Providence Podiatry Care, Inc. is 1033881735 and holds a License No. (California).

The current practice location address for Providence Podiatry Care, Inc. is 10621 Church St Ste 120, Rancho Cucamonga, CA and can be reached out via phone at 909-944-0481 and via fax at 909-944-3161. You can also correspond with Providence Podiatry Care, Inc. through the mailing address at 10621 CHURCH ST STE 120, RANCHO CUCAMONGA, CA - 91730-6834 (mailing address contact number: 909-944-0481).

Location: 10621 Church St Ste 120, Rancho Cucamonga, CA, 91730-6834
institution
Provider Profile Details
NPI Number
1033881735
Provider Name
Providence Podiatry Care, Inc.
Credential
Provider Entity Type
Organization
Address
10621 Church St Ste 120, Rancho Cucamonga, CA, 91730-6834
Phone Number
909-944-0481
Fax Number
909-944-3161
Provider Enumeration Date
09/30/2021
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1831127349 05 CA
1831127349 01 CA MOLINA MEDICAL GROUP
institution
Provider Business Practice Location Address Details
Address
10621 Church St Ste 120
City
State
Zip
91730-6834
Phone Number
909-944-0481
Fax Number
909-944-3161
person
Provider Business Mailing Address Details
Address
10621 Church St Ste 120
City
State
Zip
91730-6834
Phone Number
909-944-0481
Fax Number
909-944-3161
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
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Definition
Definition to come...
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