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SAN GABRIEL VALLEY FOOT AND ANKLE CLINIC INC. NPI 1417117698


NPI Information

NPI: 1417117698
Provider Name: SAN GABRIEL VALLEY FOOT AND ANKLE CLINIC, INC.
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
323 W LAS TUNAS DR
SAN GABRIEL, CA
ZIP 91776
Phone: (626) 282-3157
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SAN GABRIEL VALLEY FOOT AND ANKLE CLINIC, INC. is a durable medical equipment medical supplies in San Gabriel, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. SAN GABRIEL VALLEY FOOT AND ANKLE CLINIC, INC. NPI is 1417117698. The provider is registered as an organization entity type.

The provider's business location address is:

323 W LAS TUNAS DR
SAN GABRIEL, CA
ZIP 91776-212
Phone: (626) 282-3157
Fax: (626) 282-3727

The provider's authorized official is Orlando Ernesto Zorrilla .
The authorized official title is Doctor/owner and has the following contact phone number (626) 282-3157.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 12/27/2011.


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
1332B00000XDurable Medical Equipment & Medical SuppliesE3449CALIFORNIAYes

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
11179690001MEDICARE NSCCALIFORNIA

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

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