institution
Podiatry Group South A Proffessional Podiatry Corporation
Public Medicine Podiatrist in San Dimas, California
NPI 1548314396

Podiatry Group South A Proffessional Podiatry Corporation is a Public Medicine Podiatrist based in San Dimas, CA and is specialized in Public Medicine. Podiatry Group South A Proffessional Podiatry Corporation practices in San Dimas, CA. The NPI Number for Podiatry Group South A Proffessional Podiatry Corporation is 1548314396 and holds a License No. E2340 (California).

The current practice location address for Podiatry Group South A Proffessional Podiatry Corporation is 425 W Bonita Ave Ste 110, San Dimas, CA and can be reached out via phone at 909-599-0981 and via fax at 909-592-0738.

Location: 425 W Bonita Ave Ste 110, San Dimas, CA, 91773-2543
institution
Provider Profile Details
NPI Number
1548314396
Provider Name
Podiatry Group South A Proffessional Podiatry Corporation
Credential
Provider Entity Type
Organization
Address
425 W Bonita Ave Ste 110, San Dimas, CA, 91773-2543
Phone Number
909-599-0981
Fax Number
909-592-0738
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRE000821 05 CA
institution
Provider Business Practice Location Address Details
Address
425 W Bonita Ave Ste 110
City
State
Zip
91773-2543
Phone Number
909-599-0981
Fax Number
909-592-0738
person
Provider Business Mailing Address Details
Address
425 W Bonita Ave Ste 110
City
State
Zip
91773-2543
Phone Number
909-599-0981
Fax Number
909-592-0738
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Public Medicine
Taxonomy
License No.
E2340 (California)
Definition
Definition to come...
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