institution
Geriatric Podiatry Medical Group Inc.
Public Medicine Podiatrist in San Dimas, California
NPI 1598832172

Geriatric Podiatry Medical Group Inc. is a Public Medicine Podiatrist based in San Dimas, CA and is specialized in Public Medicine. Geriatric Podiatry Medical Group Inc. practices in San Dimas, CA. The NPI Number for Geriatric Podiatry Medical Group Inc. is 1598832172 and holds a License No. (California).

The current practice location address for Geriatric Podiatry Medical Group Inc. 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
1598832172
Provider Name
Geriatric Podiatry Medical Group Inc.
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
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRE000050 05 CA
CJ3207 01 CA PALMETTO GBA
GRE000052 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.
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Definition
Definition to come...
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