L&D PROFESSIONAL INC. NPI 1942317284

NPI Information

NPI: 1942317284
Provider Name: L&D PROFESSIONAL, INC.

Doing Business As: FONTANA FAMILY FOOT CARE CENTER

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
8110 MANGO AVE STE 102
FONTANA, CA
ZIP 92335
Phone: (909) 350-3032
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L&D PROFESSIONAL, INC. is a foot and ankle surgery podiatrist in Fontana, CA. L&D PROFESSIONAL, INC. NPI is 1942317284. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fontana Family Foot Care Center.

The provider's business location address is:

8110 MANGO AVE STE 102
FONTANA, CA
ZIP 92335-603
Phone: (909) 350-3032
Fax: (909) 350-0294

The provider's authorized official is Vouch Kim Lun .
The authorized official title is Owner/ President and has the following contact phone number (909) 350-3032.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 9/29/2009.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4444	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	V08737	MEDICARE UPIN	CALIFORNIA
2	000E4660	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	MEDICARE NUMBER
3	5503210001	MEDICARE NSC	CALIFORNIA
4	ZZZ02254Z	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	GROUP ID
5	000E4441	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	PPIN
6	U95014	MEDICARE UPIN	CALIFORNIA
7	000E44441	MEDICARE PIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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