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AYOUB PODIATRY GROUP NPI 1780750729


NPI Information

NPI: 1780750729
Provider Name: AYOUB PODIATRY GROUP
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
425 W BONITA AVE STE 110
SAN DIMAS, CA
ZIP 91773
Phone: (909) 599-0981
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AYOUB PODIATRY GROUP is a podiatrist in San Dimas, 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. AYOUB PODIATRY GROUP NPI is 1780750729. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

425 W BONITA AVE STE 110
SAN DIMAS, CA
ZIP 91773-543
Phone: (909) 599-0981
Fax: (909) 592-0738

The provider's authorized official is William G Ayoub .
The authorized official title is Owner and has the following contact phone number (909) 599-0981.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 4/29/2008.


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
1213E00000XPodiatristE2308CALIFORNIAYes

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
1WE11517MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIANHIC
2GRE000041MEDICAIDCALIFORNIA
3DG9415OTHERCALIFORNIAPALMETTO GBA
4480014154MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAUNITEDHEALTH

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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