MICHAEL I CORNFIELD DPM INC NPI 1609107366

NPI Information

NPI: 1609107366
Provider Name: MICHAEL I CORNFIELD DPM INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
410 W CENTRAL AVE
204
BREA, CA
ZIP 92821
Phone: (714) 990-4422
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MICHAEL I CORNFIELD DPM INC is a foot and ankle surgery podiatrist in Brea, CA. MICHAEL I CORNFIELD DPM INC NPI is 1609107366. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

410 W CENTRAL AVE
204
BREA, CA
ZIP 92821-014
Phone: (714) 990-4422
Fax: (714) 990-2855

The provider's authorized official is Michael I Cornfield .
The authorized official title is Owner and has the following contact phone number (714) 990-4422.

The enumeration date for this NPI number is 1/20/2010 and was last updated on 4/1/2010.

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	E2059	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	00E2059	MEDICAID	CALIFORNIA
2	1609107366	OTHER	CALIFORNIA	NPI TYPE 2
3	CV970Z	OTHER	CALIFORNIA	PTAN
4	1194745471	OTHER	CALIFORNIA	INDIVIDUAL NPI
5	T1160	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: 11/14/2023

NPI Synchronization or Removal

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