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SANTA ANA PODIATRY GROUP NPI 1104046853


NPI Information

NPI: 1104046853
Provider Name: SANTA ANA PODIATRY GROUP
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
11180 WARNER AVE
SUITE 155
FOUNTAIN VALLEY, CA
ZIP 92708
Phone: (714) 546-1688
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SANTA ANA PODIATRY GROUP is a podiatrist in Fountain Valley, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SANTA ANA PODIATRY GROUP NPI is 1104046853. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11180 WARNER AVE
SUITE 155
FOUNTAIN VALLEY, CA
ZIP 92708-501
Phone: (714) 546-1688
Fax: (714) 641-2919

The provider's authorized official is Benedict Ching .
The authorized official title is Owner and has the following contact phone number (714) 546-1688.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 6/12/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristE-3380CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1WE10616MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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