Jittima Jirasetpatana in Glendale - Podiatrist
Jittima Jirasetpatana - NPI 1114021789
Jittima Jirasetpatana is a Podiatrist in Glendale, California. Jittima Jirasetpatana practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Jittima Jirasetpatana is 1114021789. The last update date is 2010-02-10.
Jittima Jirasetpatana's current location address is Po Box 3174, Glendale, California. You can contact this provider via phone number 8182423668 and fax number 8182422425. The mailing address for Jittima Jirasetpatana is Po Box 3174, Glendale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jittima Jirasetpatana |
|---|---|
| Address | Po Box 3174, Glendale, California |
| Phone Number | 8182423668 |
| Fax Number | 8182422425 |
| Sole Proprietor | N |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1114021789 |
|---|---|
| Provider Enumeration Date | 2006-09-12 |
| Last Updated Date | 2010-02-10 |
Provider Mailing Address Detail
| Address | Po Box 3174 |
|---|---|
| City | Glendale |
| State | California (CA) |
| Post Code | 912210174 |
| Phone Number | 8182423668 |
| Fax Number | 8182422425 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | E4442 |
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Definition: 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 |
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What is the unique 10-digit identification code assigned to Jittima Jirasetpatana by the Centers for Medicare & Medicaid Services?
The Jittima Jirasetpatana has been issued the NPI (National Provider Identifier) 1114021789, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jittima Jirasetpatana's physical address?
The Jittima Jirasetpatana is physically located at Po Box 3174, in the city of Glendale, CA, with the postal code 912210174.
What is Jittima Jirasetpatana's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jittima Jirasetpatana's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.
On what date did the Jittima Jirasetpatana receive its 1114021789 assignment from the Centers for Medicare & Medicaid Services?
The Jittima Jirasetpatana was assigned its 1114021789 by the Centers for Medicare & Medicaid Services on 2006-09-12.
As of what date were the Jittima Jirasetpatana's details last updated?
The information pertaining to the Jittima Jirasetpatana, including its address, specialty, and other details, was most recently updated on 2010-02-10.