| Organization Name: | SIENNA PODIATRY, PC |
| NPI Number: | 1407215544 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HOLLY A SPOHN-GROSS (PRESIDENT) |
| Mailing Address: | 6425 Lynch Canyon Drive Lake Isabella |
| State: | CA US |
| Postal Code: | 93240 |
| Phone Number: | 7603798630 |
| Fax Number: | 7603797658 |
| NPI Enumeration Date: | 02/17/2016 |
| NPI Last Update Date: | 02/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E4349 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |