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HARBOR FOOT AND ANKLE PODIATRIC MEDICAL GROUP NPI 1760832851


NPI Information

NPI: 1760832851
Provider Name: HARBOR FOOT AND ANKLE PODIATRIC MEDICAL GROUP
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
1360 W 6TH ST
SUITE 150W
SAN PEDRO, CA
ZIP 90732
Phone: (310) 548-1191
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HARBOR FOOT AND ANKLE PODIATRIC MEDICAL GROUP is a foot and ankle surgery podiatrist in San Pedro, CA. HARBOR FOOT AND ANKLE PODIATRIC MEDICAL GROUP NPI is 1760832851. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1360 W 6TH ST
SUITE 150W
SAN PEDRO, CA
ZIP 90732-514
Phone: (310) 548-1191

The provider's authorized official is Bruce D Levine .
The authorized official title is President and has the following contact phone number (310) 548-1191.

The enumeration date for this NPI number is 6/20/2016 and was last updated on 6/20/2016.


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
1213E00000XPodiatristNo
2213ES0103XPodiatristFoot & Ankle SurgeryYes

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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