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:
Authorized official contact:
Name: Cullen, Benjamin Doctor of Podiatric Medicine (DPM)
Phone: (619) 291-0777
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1962456400 | NPPES |
| California | Other | ZZZ40809Z | BLUE SHIELD |
| California | MEDICAID | GRE000300 | BLUE SHIELD |
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