| |
1580 Creekside Dr Ste 110, Folsom, CA 95630-3887 | |
(916) 984-7912 | |
(916) 961-0540 |
Full Name | |
---|---|
Type | Facility |
Speciality | Durable Medical Equipment & Medical Supplies |
Location | 1580 Creekside Dr Ste 110, Folsom, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528838992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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20130 Lake Chabot Rd Ste 202, Castro Valley, CA 94546-5340 Ph: (510) 581-1481 | 1580 Creekside Dr Ste 110, Folsom, CA 95630-3887 Ph: (916) 984-7912 |