Michael Goddard L Dpm Inc in Santa Ana - Foot & Ankle Surgery
Michael Goddard L Dpm Inc - NPI 1912053992
Michael Goddard L Dpm Inc is a Foot & Ankle Surgery in Santa Ana, California. Michael Goddard L Dpm Inc practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Michael Goddard L Dpm Inc is 1912053992. The last update date is 2018-06-21.
Michael Goddard L Dpm Inc's current location address is 1401 N. Tustin Ave, Santa Ana, California. You can contact this provider via phone number 7145420656. The mailing address for Michael Goddard L Dpm Inc is 1401 N. Tustin Ave, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michael Goddard L Dpm Inc |
|---|---|
| Address | 1401 N. Tustin Ave, Santa Ana, California |
| Phone Number | 7145420656 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Goddard Michael |
| Credentials | D.P.M. |
| Telephone Number | 7145420656 |
NPI Number Detail
| NPI Number | 1912053992 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2018-06-21 |
Provider Mailing Address Detail
| Address | 1401 N. Tustin Ave |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927058675 |
| Phone Number | 7145420656 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | E4398 |
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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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What is the Michael Goddard L Dpm Inc's unique identification number?
The Michael Goddard L Dpm Inc has been assigned the NPI (National Provider Identifier) Number 1912053992 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Michael Goddard L Dpm Inc located?
The Michael Goddard L Dpm Inc is located at 1401 N. Tustin Ave, Santa Ana, CA 927058675.
What is the Michael Goddard L Dpm Inc's area of specialization and corresponding taxonomy classification?
The Michael Goddard L Dpm Inc'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 originally issue the 1912053992 to Michael Goddard L Dpm Inc?
The Centers for Medicare & Medicaid Services originally issued the 1912053992 to Michael Goddard L Dpm Inc on 2007-01-25.
As of what date were the Michael Goddard L Dpm Inc's details last updated?
The information pertaining to the Michael Goddard L Dpm Inc, including its address, specialty, and other details, was most recently updated on 2018-06-21.