FOOTHEALS PODIATRY INC NPI 1982032140

NPI Information

NPI: 1982032140
Provider Name: FOOTHEALS PODIATRY INC
Classification: Podiatrist - 213EP1101X
Entity Type: Organization

Specialization: Primary Podiatric Medicine

Address:
1520 N MOUNTAIN AVE STE 122
ONTARIO, CA
ZIP 91762
Phone: (909) 623-4484
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FOOTHEALS PODIATRY INC is a primary podiatric medicine podiatrist in Ontario, CA. FOOTHEALS PODIATRY INC NPI is 1982032140. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1520 N MOUNTAIN AVE STE 122
ONTARIO, CA
ZIP 91762-132
Phone: (909) 623-4484
Fax: (909) 623-4485

The provider's authorized official is Michael Wach .
The authorized official title is President and has the following contact phone number (909) 623-4484.

The enumeration date for this NPI number is 10/28/2013 and was last updated on 10/28/2013.

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	213EP1101X	Podiatrist	Primary Podiatric Medicine	E4125	CALIFORNIA	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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