LEONARD GREENWALD DPM NPI 1043409345

NPI Information

NPI: 1043409345
Provider Name: LEONARD GREENWALD, DPM

Doing Business As: BERRYESSAY HILLS PODIATRY GROUP

Classification: Clinic/Center - 261QP1100X
Entity Type: Organization

Specialization: Podiatric

Address:
750 N CAPITOL AVE
SUITE B3
SAN JOSE, CA
ZIP 95133
Phone: (408) 926-5855
Get Directions

LEONARD GREENWALD, DPM is a podiatric clinic center in San Jose, CA. LEONARD GREENWALD, DPM NPI is 1043409345. The provider is registered as an organization entity type.
The provider Is Doing Business As Berryessay Hills Podiatry Group.

The provider's business location address is:

750 N CAPITOL AVE
SUITE B3
SAN JOSE, CA
ZIP 95133-913
Phone: (408) 926-5855
Fax: (408) 926-2544

The provider's authorized official is Leonard Greenwald .
The authorized official title is Owner and has the following contact phone number (408) 926-5855.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 10/23/2007.

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	261QP1100X	Clinic/Center	Podiatric	E1982	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	ZZZ75770Z	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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