Clifford Wolf

LBN: Wolf Podiatry Corp
Clifford Wolf is an health care organization with primary practice located at 12630 Monte Vista Rd Ste 101 , Poway CA 92064-2526. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Wolf Podiatry Corp can be contacted via phone (858) 451-2151, or through Wolf, Clifford J via phone (858) 451-2151.

Contact Information

Primary practice address
12630 Monte Vista Rd Ste 101 Poway CA 92064-2526
Phone: (858) 451-2151
Fax: (858) 451-3097
Website:
Map and Directions
Authorized official contact:
Name: Wolf, Clifford J Doctor of Podiatric Medicine (DPM)
Phone: (858) 451-2151

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E2161 California

Profile Details

NPI number 1497974190
LBN Legal business name Wolf Podiatry Corp
DBA Doing business as Clifford Wolf
Authorized official Wolf, Clifford J Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2007
Last updated Mar 4th, 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 1497974190 NPPES
California MEDICAID 000E21613
California Other 1124085006

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