ORANGE COUNTY FOOT & ANKLE GROUP INC. NPI 1396929774

NPI Information

ORANGE COUNTY FOOT & ANKLE GROUP, INC. is a foot and ankle surgery podiatrist in Tustin, CA. ORANGE COUNTY FOOT & ANKLE GROUP, INC. NPI is 1396929774. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17400 IRVINE BLVD
SUITE J
TUSTIN, CA
ZIP 92780-030
Phone: (714) 832-0271
Fax: (714) 832-0272

The provider's authorized official is Jonathan Ian Bennett .
The authorized official title is President and has the following contact phone number (714) 832-0271.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 12/21/2007.

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:

Other Identifiers

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

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