institution
Coastal Podiatry Clinic
Foot Surgery Podiatrist in Pismo Beach, California
NPI 1336319698

Coastal Podiatry Clinic is a Foot Surgery Podiatrist based in Pismo Beach, CA and is specialized in Foot Surgery. Coastal Podiatry Clinic practices in Pismo Beach, CA. The NPI Number for Coastal Podiatry Clinic is 1336319698 and holds a License No. E4306 (California).

The current practice location address for Coastal Podiatry Clinic is 2 James Way, Pismo Beach, CA and can be reached out via phone at 805-773-3668 and via fax at 805-773-1043.

Location: 2 James Way, Pismo Beach, CA, 93449-4973
institution
Provider Profile Details
NPI Number
1336319698
Provider Name
Coastal Podiatry Clinic
Credential
Provider Entity Type
Organization
Address
2 James Way, Pismo Beach, CA, 93449-4973
Phone Number
805-773-3668
Fax Number
805-773-1043
Provider Enumeration Date
03/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E4306 01 CA BOARD OF PODIATRIC MEDICINE LICENSE
institution
Provider Business Practice Location Address Details
Address
2 James Way
City
State
Zip
93449-4973
Phone Number
805-773-3668
Fax Number
805-773-1043
person
Provider Business Mailing Address Details
Address
2 James Way
City
State
Zip
93449-4973
Phone Number
805-773-3668
Fax Number
805-773-1043
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
E4306 (California)
Definition
Definition to come...
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