| Organization Name: | INLAND PODIATRY CENTER PROFESSIONAL CORPORATION |
| NPI Number: | 1356557581 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM C. LANDREY (OWNER,PODIATRIST) |
| Mailing Address: | 9474 Baseline Rd Alta Loma |
| State: | CA US |
| Postal Code: | 917015822 |
| Phone Number: | 9099873211 |
| Fax Number: | 9099870317 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 04/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E1457 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |