Individual provider · Type 1 NPI
Philip Andrew Radovic, DPM
Foot & Ankle Surgery Podiatrist · San Clemente, CA
NPI number
1649234097
Active
Practice location
665 Camino De Los Mares, Suite 304
San Clemente, CA 92673-2859
Fax (949) 488-0868
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E3515 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1649234097
Philip Andrew Radovic, DPM's National Provider Identifier is 1649234097, issued on Apr 13, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Clemente, CA. The record was last updated on May 28, 2025.