| Organization Name: | FOOT DOCTORS OF SANTA CRUZ COUNTY, INC. A PODIATRY GROUP |
| NPI Number: | 1184097081 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RUBI MARTIN (OFFICE MANAGE) |
| Mailing Address: | 243 Mount Hermon Rd Ste G Scotts Valley |
| State: | CA US |
| Postal Code: | 950664085 |
| Phone Number: | 8314383668 |
| Fax Number: | 8314383699 |
| NPI Enumeration Date: | 11/02/2015 |
| NPI Last Update Date: | 11/02/2015 |
| 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: | |