institution
San Bernardino Foot Clinic, Inc.
Foot & Ankle Surgery Podiatrist in San Bernardino, California
NPI 1154352037

San Bernardino Foot Clinic, Inc. is a Foot & Ankle Surgery Podiatrist based in San Bernardino, CA and is specialized in Foot & Ankle Surgery. San Bernardino Foot Clinic, Inc. practices in San Bernardino, CA. The NPI Number for San Bernardino Foot Clinic, Inc. is 1154352037 and holds a License No. E4416 (California).

The current practice location address for San Bernardino Foot Clinic, Inc. is 2095 N Waterman Ave, San Bernardino, CA and can be reached out via phone at 909-882-3800 and via fax at 909-882-3380. You can also correspond with San Bernardino Foot Clinic, Inc. through the mailing address at 2095 N WATERMAN AVE, SAN BERNARDINO, CA - 92404-4834 (mailing address contact number: 909-882-3800).

Location: 2095 N Waterman Ave, San Bernardino, CA, 92404-4834
institution
Provider Profile Details
NPI Number
1154352037
Provider Name
San Bernardino Foot Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
2095 N Waterman Ave, San Bernardino, CA, 92404-4834
Phone Number
909-882-3800
Fax Number
909-882-3380
Provider Enumeration Date
07/06/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E44161 05 CA
CI863B 01 CA MEDICARE PTAN
DD297Z 01 CA MEDICARE INDIVIDUAL
0253335 05 CA
institution
Provider Business Practice Location Address Details
Address
2095 N Waterman Ave
City
State
Zip
92404-4834
Phone Number
909-882-3800
Fax Number
909-882-3380
person
Provider Business Mailing Address Details
Address
2095 N Waterman Ave
City
State
Zip
92404-4834
Phone Number
909-882-3800
Fax Number
909-882-3380
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4416 (California)
Definition
Definition to come...
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