Eric Travis in Huntington Beach - Podiatrist

Eric Travis - NPI 1104926070

Eric Travis is a Podiatrist in Huntington Beach, California. Eric Travis practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Eric Travis is 1104926070. The last update date is 2007-07-09.

Eric Travis's current location address is 18800 Main St, Huntington Beach, California. You can contact this provider via phone number 7148411963 and fax number 7148416919. The mailing address for Eric Travis is 18800 Main St, Huntington Beach, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Eric Travis
Address 18800 Main St, Huntington Beach, California
Phone Number 7148411963
Fax Number 7148416919
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1104926070
Provider Enumeration Date 2006-09-22
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 18800 Main St
City Huntington Beach
State California (CA)
Post Code 926481707
Phone Number 7148411963
Fax Number 7148416919

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No E4459
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000E44590 CA B/S OF CAL-INDIVIDUAL ID

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FAQs about Eric Travis

What is the unique identifier code issued to Eric Travis by the Centers for Medicare & Medicaid Services (CMS)?

The Eric Travis has been assigned the NPI (National Provider Identifier) 1104926070. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Eric Travis located?

The Eric Travis is located at 18800 Main St, Huntington Beach, CA 926481707.

What is Eric Travis's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Eric Travis is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104926070 to Eric Travis?

The Centers for Medicare & Medicaid Services originally issued the 1104926070 to Eric Travis on 2006-09-22.

When was the information related to Eric Travis most recently updated or refreshed?

The details pertaining to the Eric Travis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.

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