RIVERSIDE FOOT AND ANKLE CENTER INC NPI 1700535705

NPI Information

NPI: 1700535705
Provider Name: RIVERSIDE FOOT AND ANKLE CENTER INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
6216 BROCKTON AVE STE 211
RIVERSIDE, CA
ZIP 92506
Phone: (909) 946-6643
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RIVERSIDE FOOT AND ANKLE CENTER INC is a foot and ankle surgery podiatrist in Riverside, CA. RIVERSIDE FOOT AND ANKLE CENTER INC NPI is 1700535705. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6216 BROCKTON AVE STE 211
RIVERSIDE, CA
ZIP 92506-223
Phone: (909) 946-6643
Fax: (909) 946-6130

The provider's authorized official is Lisa Breshears .
The authorized official title is Coo and has the following contact phone number (310) 534-9131.

The enumeration date for this NPI number is 3/18/2022 and was last updated on 3/18/2022.

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			Yes

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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