Organization Name: | SOUTH COUNTY FOOT AND ANKLE HOUSE CALLS, INC. |
NPI Number: | 1053741967 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIN VOGTMAN (PRESIDENT) |
Mailing Address: | 511 E Avenida San Juan San Clemente |
State: | CA US |
Postal Code: | 926722331 |
Phone Number: | 9494977640 |
Fax Number: | 9496120277 |
NPI Enumeration Date: | 11/14/2013 |
NPI Last Update Date: | 05/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |