institution
Family Foot Care Specialists Podiatry Center Inc
Durable Medical Equipment & Medical Supplies in Fortuna, California
NPI 1699791160

Family Foot Care Specialists Podiatry Center Inc is a Durable Medical Equipment & Medical Supplies based in Fortuna, CA. Family Foot Care Specialists Podiatry Center Inc practices in Fortuna, CA. The NPI Number for Family Foot Care Specialists Podiatry Center Inc is 1699791160 and holds a License No. (California).

The current practice location address for Family Foot Care Specialists Podiatry Center Inc is 1730 Main St, Fortuna, CA and can be reached out via phone at 707-725-5223 and via fax at 707-725-2756.

Location: 1730 Main St, Fortuna, CA, 95540-2467
institution
Provider Profile Details
NPI Number
1699791160
Provider Name
Family Foot Care Specialists Podiatry Center Inc
Credential
Provider Entity Type
Organization
Address
1730 Main St, Fortuna, CA, 95540-2467
Phone Number
707-725-5223
Fax Number
707-725-2756
Provider Enumeration Date
07/15/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRE001770 05 CA
ZZZ64279Z 01 CA BLUE SHIELD GROUP TAX ID
ZZZ64278Z 01 CA BLUE SHIELD GROUP #
institution
Provider Business Practice Location Address Details
Address
1730 Main St
City
State
Zip
95540-2467
Phone Number
707-725-5223
Fax Number
707-725-2756
person
Provider Business Mailing Address Details
Address
1730 Main St
City
State
Zip
95540-2467
Phone Number
707-725-5223
Fax Number
707-725-2756
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E2321 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
License No.
(California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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