San Bernardino Foot Clinic

NPI 1154352037 - Podiatrist - 213ES0103X

NPI Details
NPI 1154352037
Enumeration Date 07/06/2006
Last Updated 07/14/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SANG DAE SANG
Position OWNER-PODIATRIST
Phone (909) 882-3800
Fax (909) 882-3380
Practice Location
2095 N WATERMAN AVE
SAN BERNARDINO CA, 92404-4834, US
Phone (909) 882-3800
Fax (909) 882-3380
Business Location
2095 N WATERMAN AVE
SAN BERNARDINO CA, 92404-4834, US
Phone (909) 882-3800
Fax (909) 882-3380
Toxanomy
Taxonomy Code 213ES0103X
License State California
License Number E4416
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According to our database, San Bernardino Foot Clinic NPI is 1154352037, taxonomy code is 213ES0103X and license number is E4416, license state is located at California. San Bernardino Foot Clinic physically located at 2095 N Waterman Ave, San Bernardino CA, 92404-4834. NPI Number 1033115704 has the healthcare provider type.

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1154352037 NPI number is provided on an as is basis without warranty of any kind. 1154352037 is maintained by the National Plan & Provider Enumeration System. The contents of San Bernardino Foot Clinic are for informational purposes only.