Ayoub Podiatry Group

LBN: Ayoub Podiatry Group
Ayoub Podiatry Group is an health care organization with primary practice located at 425 W Bonita Ave Ste 110 , San Dimas CA 91773-2543. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Ayoub Podiatry Group can be contacted via phone (909) 599-0981, or through Ayoub, William G via phone (909) 599-0981.

Contact Information

Primary practice address
425 W Bonita Ave Ste 110 San Dimas CA 91773-2543
Fax: (909) 592-0738
Website:
Authorized official contact:
Name: Ayoub, William G Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2308 California

Profile Details

NPI number 1780750729
LBN Legal business name Ayoub Podiatry Group
DBA Doing business as
Authorized official Ayoub, William G Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Apr 29th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780750729 NPPES
California MEDICAID GRE000041
California Other DG9415

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