Individual provider · Type 1 NPI
Jerry M. Fabrikant, D.P.M.
Foot & Ankle Surgery Podiatrist · La Mesa, CA
NPI number
1689622177
Active
Practice location
5565 Grossmont Center Dr, Bldg 3 # 353
La Mesa, CA 91942-3007
Fax (619) 466-7311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 000E23120 (CA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 000E23120 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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Other foot & ankle surgery podiatrist providers in La Mesa
- Harris Kaplan, DPMFoot & Ankle Surgery Podiatrist La Mesa, CA NPI 1235400060
- Dan B. Tarango, DPMFoot & Ankle Surgery Podiatrist La Mesa, CA NPI 1336131911
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- Melanie Vaisberg, DPMFoot & Ankle Surgery Podiatrist La Mesa, CA NPI 1720764582
- Yasamin DaneshvarFoot & Ankle Surgery Podiatrist La Mesa, CA NPI 1881338317
- Peter Joseph Godoy Iii, DPMFoot & Ankle Surgery Podiatrist La Mesa, CA NPI 1922747930
About NPI 1689622177
Jerry M. Fabrikant, D.P.M.'s National Provider Identifier is 1689622177, issued on May 5, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in La Mesa, CA. The record was last updated on Mar 17, 2009.