INDIAN WELLS PODIATRY GROUP NPI 1154500221

NPI Information

INDIAN WELLS PODIATRY GROUP is a foot and ankle surgery podiatrist in Ridgecrest, CA. INDIAN WELLS PODIATRY GROUP NPI is 1154500221. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As California Foot & Ankle Center.

The provider's business location address is:

1111 N CHINA LAKE BLVD
SUITE 301
RIDGECREST, CA
ZIP 93555-131
Phone: (760) 499-3270
Fax: (760) 499-3275

The provider's authorized official is Lawrence Michael Horn .
The authorized official title is Owner and has the following contact phone number (760) 446-3338.

The enumeration date for this NPI number is 10/25/2007 and was last updated on 9/17/2012.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.