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CONVALESCENT PODIATRY CARE NPI 1568576528


NPI Information

NPI: 1568576528
Provider Name: CONVALESCENT PODIATRY CARE

Other Name: CONVALESCENT PODIATRY CARE

Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
5445 DEL AMO BLVD STE 102
LAKEWOOD, CA
ZIP 90712
Phone: (562) 867-0811
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CONVALESCENT PODIATRY CARE is a podiatrist in Lakewood, 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. CONVALESCENT PODIATRY CARE NPI is 1568576528. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Convalescent Podiatry Care.

The provider's business location address is:

5445 DEL AMO BLVD STE 102
LAKEWOOD, CA
ZIP 90712-761
Phone: (562) 867-0811
Fax: (562) 866-4046

The provider's authorized official is Karen Benik .
The authorized official title is Owner/medical Director and has the following contact phone number (562) 867-0811.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 12/29/2023.


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
1213E00000XPodiatristYes

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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