institution
Spencer Rodriguez Podiatry Corporation
Podiatric Clinic/Center in Ladera Ranch, California
NPI 1619396884

Spencer Rodriguez Podiatry Corporation is a Podiatric Clinic/Center based in Ladera Ranch, CA and is specialized in Podiatric. Spencer Rodriguez Podiatry Corporation practices in Ladera Ranch, CA. The NPI Number for Spencer Rodriguez Podiatry Corporation is 1619396884 and holds a License No. E4828 (California).

The current practice location address for Spencer Rodriguez Podiatry Corporation is 333 Corporate Dr Ste 230, Ladera Ranch, CA and can be reached out via phone at 949-364-9255 and via fax at 949-364-9250.

Location: 333 Corporate Dr Ste 230, Ladera Ranch, CA, 92694-2180
institution
Provider Profile Details
NPI Number
1619396884
Provider Name
Spencer Rodriguez Podiatry Corporation
Credential
Provider Entity Type
Organization
Address
333 Corporate Dr Ste 230, Ladera Ranch, CA, 92694-2180
Phone Number
949-364-9255
Fax Number
949-364-9250
Provider Enumeration Date
04/15/2014
Last Update Date
07/20/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790309672 01 CA MEDICARE
1982751632 01 CA MEDICARE
institution
Provider Business Practice Location Address Details
Address
333 Corporate Dr Ste 230
City
State
Zip
92694-2180
Phone Number
949-364-9255
Fax Number
949-364-9250
person
Provider Business Mailing Address Details
Address
333 Corporate Dr Ste 230
City
State
Zip
92694-2180
Phone Number
949-364-9255
Fax Number
949-364-9250
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E4790 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
E4828 (California)
Definition
Definition to come...
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