AUR PODIATRY DPM INC NPI 1790201077

NPI Information

  • NPI: 1790201077
  • Provider Name: AUR PODIATRY DPM INC
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • Address: 1810 GRAND CANAL BLVD STE 2
    STOCKTON, CA
    ZIP 95207
  • Phone: (209) 952-1612

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NPI Details

AUR PODIATRY DPM INC is a foot and ankle surgery podiatrist in Stockton, CA. AUR PODIATRY DPM INC NPI is 1790201077. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1810 GRAND CANAL BLVD STE 2
STOCKTON, CA
ZIP 95207-110
Phone: (209) 952-1612
Fax: (209) 952-1631

The provider's authorized official is Radin Aur .
The authorized official title is Podiatrist and has the following contact phone number (847) 406-9192.

The enumeration date for this NPI number is 8/17/2017 and was last updated on 2/27/2020.

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
1213ES0103XPodiatristFoot & Ankle SurgeryE5265CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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