| Organization Name: | ANNALISA Y. CO, PODIATRY CORPORATION |
| NPI Number: | 1063753036 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANNALISA CO (PODIATRIC SURGEON) |
| Mailing Address: | 5931 Stanley Ave Suite 8 Carmichael |
| State: | CA US |
| Postal Code: | 956083846 |
| Phone Number: | 9164814389 |
| Fax Number: | 9164814307 |
| NPI Enumeration Date: | 03/15/2013 |
| NPI Last Update Date: | 03/28/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E4613 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |