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Pacific Coast Podiatry Pc
Preferred Provider Organization in San Bernardino, California
NPI 1285080978

Pacific Coast Podiatry Pc is a Preferred Provider Organization based in San Bernardino, CA. Pacific Coast Podiatry Pc practices in San Bernardino, CA. The NPI Number for Pacific Coast Podiatry Pc is 1285080978 and holds a License No. E4834 (California).

The current practice location address for Pacific Coast Podiatry Pc is 1762 N Waterman Ave, San Bernardino, CA and can be reached out via phone at 909-886-3668 and via fax at 909-886-5542.

Location: 1762 N Waterman Ave, San Bernardino, CA, 92404-5130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285080978
Provider Name
Pacific Coast Podiatry Pc
Credential
Provider Entity Type
Organization
Address
1762 N Waterman Ave, San Bernardino, CA, 92404-5130
Phone Number
909-886-3668
Fax Number
909-886-5542
Provider Enumeration Date
05/11/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1285080978 01 NPI
institution
Provider Business Practice Location Address Details
Address
1762 N Waterman Ave
City
San Bernardino
State
California
Zip
92404-5130
Phone Number
909-886-3668
Fax Number
909-886-5542
person
Provider Business Mailing Address Details
Address
1762 N Waterman Ave
City
San Bernardino
State
California
Zip
92404-5130
Phone Number
909-886-3668
Fax Number
909-886-5542
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
E4834 (California)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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