is a Foot & Ankle Surgery in San Jose, California. practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for is 1740392208. The last update date is .
's current location address is 660 E Santa Clara St, San Jose, California. You can contact this provider via phone number 4084995888. The mailing address for is 660 E Santa Clara St, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 660 E Santa Clara St, San Jose, California |
| Phone Number | 4084995888 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1740392208 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 660 E Santa Clara St |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951121931 |
| Phone Number | 4084995888 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | E4689 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000E46890 | CA | -- |
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