institution
Foot Fitness Center Podiatry Group
Foot & Ankle Surgery Podiatrist in Yorba Linda, California
NPI 1124264833

Foot Fitness Center Podiatry Group is a Foot & Ankle Surgery Podiatrist based in Yorba Linda, CA and is specialized in Foot & Ankle Surgery. Foot Fitness Center Podiatry Group practices in Yorba Linda, CA. The NPI Number for Foot Fitness Center Podiatry Group is 1124264833 and holds a License No. E2097 (California).

The current practice location address for Foot Fitness Center Podiatry Group is 4976 Lakeview Ave, Yorba Linda, CA and can be reached out via phone at 714-777-2658 and via fax at 714-777-1055.

Location: 4976 Lakeview Ave, Yorba Linda, CA, 92886-4158
institution
Provider Profile Details
NPI Number
1124264833
Provider Name
Foot Fitness Center Podiatry Group
Credential
Provider Entity Type
Organization
Address
4976 Lakeview Ave, Yorba Linda, CA, 92886-4158
Phone Number
714-777-2658
Fax Number
714-777-1055
Provider Enumeration Date
12/30/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1124264833 01 NPI
1588637193 01 NPI INDIVIDUAL
P00669656 01 CA RAILROAD MEDICARE
5568080001 01 CA DME
BC719 01 CA PTAN
BC718 01 CA PTAN - INDIVIDUAL
#E2097 01 MEDICARE ID-PROVIDER #
D03050 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
4976 Lakeview Ave
City
State
Zip
92886-4158
Phone Number
714-777-2658
Fax Number
714-777-1055
person
Provider Business Mailing Address Details
Address
4976 Lakeview Ave
City
State
Zip
92886-4158
Phone Number
714-777-2658
Fax Number
714-777-1055
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E2097 (California)
Definition
Definition to come...
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