Organization · Type 2 NPI
Far West Podiatric Medical Group
Foot Surgery Podiatrist · Hawthorne, CA
NPI number
1124175740
Active
Practice location
13624 Hawthorne Blvd Ste 206
Hawthorne, CA 90250-5818
Fax (310) 675-0904
Mailing address
13624 Hawthorne Blvd, Suite 206
Hawthorne, CA 90250-5818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | E3328 (CA) |
Foot Surgery Podiatrist: Definition to come...
Another provider at this address
About NPI 1124175740
Far West Podiatric Medical Group's National Provider Identifier is 1124175740, issued on Jan 4, 2007. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Hawthorne, CA. The record was last updated on Jul 13, 2022.