Organization · Type 2 NPI
C P G
Foot & Ankle Surgery Podiatrist · Huntington Park, CA
NPI number
1083196562
Active
Practice location
2635 Walnut St
Huntington Park, CA 90255-5709
Fax (323) 433-9177
Mailing address
30251 Golden Lantern Ste E409
Laguna Niguel, CA 92677-5993
Other practice locations
- 3737 Martin Luther King Jr Blvd Ste 404, Lynwood, CA 90262-3534 · (310) 537-2121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | None listed |
Foot & Ankle Surgery Podiatrist: Definition to come...
2 other providers at this address
Other foot & ankle surgery podiatrist providers in Huntington Park
About NPI 1083196562
C P G's National Provider Identifier is 1083196562, issued on Aug 31, 2018. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Huntington Park, CA. The record was last updated on Nov 12, 2024.