MICHAEL L WACH DPM PODIATRY CORP NPI 1700133931

NPI Information

NPI: 1700133931
Provider Name: MICHAEL L WACH DPM PODIATRY CORP
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
82935 AVENUE 48 STE 102
INDIO, CA
ZIP 92201
Phone: (801) 878-9321
Get Directions

MICHAEL L WACH DPM PODIATRY CORP is a primary podiatric medicine podiatrist in Indio, CA. MICHAEL L WACH DPM PODIATRY CORP NPI is 1700133931. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

82935 AVENUE 48 STE 102
INDIO, CA
ZIP 92201-757
Phone: (801) 878-9321
Fax: (801) 878-9382

The provider's authorized official is Michael Lynn Wach .
The authorized official title is Owner and has the following contact phone number (323) 749-6950.

The enumeration date for this NPI number is 8/7/2012 and was last updated on 1/22/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	E4125	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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