San Diego Podiatry Group

LBN: Richard M And Donald R Green Ptrs Dba San Diego Podiatry Group
San Diego Podiatry Group is an health care organization with primary practice located at 2650 Camino Del Rio N Suite 101, San Diego CA 92108-1621. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty. Richard M And Donald R Green Ptrs Dba San Diego Podiatry Group can be contacted via phone (619) 291-0777, or through Cullen, Benjamin via phone (619) 291-0777.

Contact Information

Primary practice address
2650 Camino Del Rio N Suite 101 San Diego CA 92108-1621
Phone: (619) 291-0777
Fax: (619) 291-3231
Website:
Map and Directions
Authorized official contact:
Name: Cullen, Benjamin Doctor of Podiatric Medicine (DPM)
Phone: (619) 291-0777

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1962456400
LBN Legal business name Richard M And Donald R Green Ptrs Dba San Diego Podiatry Group
DBA Doing business as San Diego Podiatry Group
Authorized official Cullen, Benjamin Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 20th, 2006
Last updated Apr 7th, 2017 - about 8 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 1962456400 NPPES
California Other ZZZ40809Z BLUE SHIELD
California MEDICAID GRE000300 BLUE SHIELD

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