Geriatric Podiatry Medical Group Inc.
LBN: Geriatric Podiatry Medical Group Inc.
Geriatric Podiatry Medical Group Inc. 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 / Public Medicine, which is considered as the primary health care specialty.
Geriatric Podiatry Medical Group Inc. can be contacted via phone (909) 599-0981, or through Tabb, William H via phone (909) 599-0981.
Contact Information
Primary practice address
425 W Bonita Ave Ste 110
San Dimas CA 91773-2543
Phone: (909) 599-0981
Fax: (909) 592-0738
Website:
Authorized official contact:
Name: Tabb, William H Doctor of Podiatric Medicine (DPM)
Phone: (909) 599-0981
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Public Medicine | 213EP0504X |
Profile Details
| NPI number | 1598832172 |
|---|---|
| LBN Legal business name | Geriatric Podiatry Medical Group Inc. |
| DBA Doing business as | |
| Authorized official | Tabb, William H Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Dec 16th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598832172 | NPPES |
| California | MEDICAID | GRE000050 | |
| California | Other | CJ3207 | |
| California | MEDICAID | GRE000052 |
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