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JAN E MC CANN DPM NPI 1629104005


NPI Information

NPI: 1629104005
Provider Name: JAN E MC CANN DPM

Doing Business As: SADDLEBACK VALLEY PODIATRY GROUP

Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
23961 CALLE DE LA MAGDALENA
#143
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 768-9495
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JAN E MC CANN DPM is a foot surgery podiatrist in Laguna Hills, CA. JAN E MC CANN DPM NPI is 1629104005. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Saddleback Valley Podiatry Group.

The provider's business location address is:

23961 CALLE DE LA MAGDALENA
#143
LAGUNA HILLS, CA
ZIP 92653-616
Phone: (949) 768-9495
Fax: (949) 768-8018

The provider's authorized official is Jan E Mccann .
The authorized official title is Owner and has the following contact phone number (949) 768-9495.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.


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
1213ES0131XPodiatristFoot SurgeryE1844CALIFORNIAYes

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
1ZZZ87084ZOTHERCALIFORNIABLUE SHIELD

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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