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SOUTHERN CALIFORNIA PODIATRY GROUP INC. NPI 1699862755


NPI Information

NPI: 1699862755
Provider Name: SOUTHERN CALIFORNIA PODIATRY GROUP, INC.

Doing Business As: DSP

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
2661 E FLORENCE AVE
SUITE B
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 583-4440
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SOUTHERN CALIFORNIA PODIATRY GROUP, INC. is a podiatrist in Huntington Park, 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. SOUTHERN CALIFORNIA PODIATRY GROUP, INC. NPI is 1699862755. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dsp.

The provider's business location address is:

2661 E FLORENCE AVE
SUITE B
HUNTINGTON PARK, CA
ZIP 90255-793
Phone: (323) 583-4440
Fax: (323) 583-4499

The provider's authorized official is Jason Wach .
The authorized official title is Treasurer/secretary and has the following contact phone number (562) 896-5899.

The enumeration date for this NPI number is 10/9/2006 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
1213E00000XPodiatristYes

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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