Individual provider · Type 1 NPI
Ciaran Jacka, DPM
Foot & Ankle Surgery Podiatrist · San Leandro, CA
NPI number
1891735445
Active
Practice location
13847 E 14th St Ste 210
San Leandro, CA 94578-2626
Fax (510) 351-6009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | E4622 (CA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E4622 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
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About NPI 1891735445
Ciaran Jacka, DPM's National Provider Identifier is 1891735445, issued on Jun 8, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in San Leandro, CA. The record was last updated on Apr 11, 2022.