Individual provider · Type 1 NPI
Allen Jerome Degrandmont, DPM
Foot & Ankle Surgery Podiatrist · Costa Mesa, CA
NPI number
1962450833
Active
Practice location
188 E 17th St, Suite #101
Costa Mesa, CA 92627-3763
Fax (949) 646-3957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | E1767 (CA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
Another provider at this address
Other foot & ankle surgery podiatrist providers in Costa Mesa
- Lawrence Chang, DPMFoot & Ankle Surgery Podiatrist Costa Mesa, CA NPI 1295473254
- Daniel David Bank, D.P.M.Foot & Ankle Surgery Podiatrist Costa Mesa, CA NPI 1669550372
- Minh Vy Nu Ton, D.P.MFoot & Ankle Surgery Podiatrist Costa Mesa, CA NPI 1750395372
- Dana Lin, MDFoot & Ankle Surgery Podiatrist Costa Mesa, CA NPI 1811481914
- Matthew M. Do, D.P.M., DABMSPFoot & Ankle Surgery Podiatrist Costa Mesa, CA NPI 1881602993
About NPI 1962450833
Allen Jerome Degrandmont, DPM's National Provider Identifier is 1962450833, issued on May 4, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Costa Mesa, CA. The record was last updated on Jul 8, 2007.