Allen Jerome Degrandmont in Costa Mesa - Foot & Ankle Surgery
Allen Jerome Degrandmont - NPI 1962450833
Allen Jerome Degrandmont is a Foot & Ankle Surgery in Costa Mesa, California. Allen Jerome Degrandmont practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Allen Jerome Degrandmont is 1962450833. The last update date is 2007-07-08.
Allen Jerome Degrandmont's current location address is 188 E 17th St, Costa Mesa, California. You can contact this provider via phone number 9496467110 and fax number 9496463957. The mailing address for Allen Jerome Degrandmont is 188 E 17th St, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Allen Jerome Degrandmont |
|---|---|
| Address | 188 E 17th St, Costa Mesa, California |
| Phone Number | 9496467110 |
| Fax Number | 9496463957 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1962450833 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 188 E 17th St |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 926273763 |
| Phone Number | 9496467110 |
| Fax Number | 9496463957 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | E1767 |
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Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Allen Jerome Degrandmont by the Centers for Medicare & Medicaid Services?
The Allen Jerome Degrandmont has been assigned the NPI (National Provider Identifier) 1962450833 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Allen Jerome Degrandmont's facilities are situated?
The facilities of Allen Jerome Degrandmont are physically located at the following address: 188 E 17Th St, Costa Mesa, CA, 926273763.
What is the Allen Jerome Degrandmont's area of specialization and corresponding taxonomy classification?
The Allen Jerome Degrandmont's specialty field is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1962450833 to Allen Jerome Degrandmont?
The Allen Jerome Degrandmont received its 1962450833 assignment from the Centers for Medicare & Medicaid Services on 2006-05-04.
As of what date were the Allen Jerome Degrandmont's details last updated?
The information pertaining to the Allen Jerome Degrandmont, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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