Addiego, Joseph Anthony

Addiego, Joseph Anthony is an individual health care provider with primary practice located at 1510 S Central Ave Suite 120, Glendale CA 91204-2577. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Addiego, Joseph Anthony can be contacted via phone (818) 242-3668.

Contact Information

Primary practice address
1510 S Central Ave Suite 120 Glendale CA 91204-2577
Phone: (818) 242-3668
Fax: (818) 242-3668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4289 California

Profile Details

NPI number 1902907835
LBN Legal business name Addiego, Joseph Anthony
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Aug 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902907835 NPPES
California MEDICAID 000E42893

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