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WONSIK BOLLMANN NPI 1134379480


NPI Information

NPI: 1134379480
Provider Name: WONSIK BOLLMANN

Doing Business As: HIGH DESERT FOOT & ANKLE CLINIC

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
15366 11TH ST
STE A
VICTORVILLE, CA
ZIP 92395
Phone: (760) 951-1234
Get Directions

WONSIK BOLLMANN is a podiatrist in Victorville, 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. WONSIK BOLLMANN NPI is 1134379480. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As High Desert Foot & Ankle Clinic.

The provider's business location address is:

15366 11TH ST
STE A
VICTORVILLE, CA
ZIP 92395-726
Phone: (760) 951-1234
Fax: (760) 951-1611

The provider's authorized official is Wonsik Bollmann .
The authorized official title is Owner and has the following contact phone number (760) 951-1234.

The enumeration date for this NPI number is 9/23/2008 and was last updated on 1/9/2017.


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
1213E00000XPodiatristE39660CALIFORNIAYes

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
11225070001MEDICARE NSCCALIFORNIA
2000E39660MEDICARE PINCALIFORNIA

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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