| Brockton Podiatry Group A Prof Corp | |
|
16 E Fern Ave, Suite B, Redlands, CA 92373-4000 | |
| (909) 793-2379 | |
| (909) 793-9660 |
| Full Name | Brockton Podiatry Group A Prof Corp |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 16 E Fern Ave, Redlands, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275867228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E1514 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Brockton Podiatry Group A Prof Corp 16 E Fern Ave, Suite B, Redlands, CA 92373-4000 Ph: (909) 793-2379 | Brockton Podiatry Group A Prof Corp 16 E Fern Ave, Suite B, Redlands, CA 92373-4000 Ph: (909) 793-2379 |
Redlands Podiatry Group Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 16 E Fern Ave, Suite A, Redlands, CA 92373 Phone: 909-792-6066 Fax: 909-792-4424 | |
Christine Maria Cachola, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 16 E Fern Ave, Redlands, CA 92373 Phone: 909-792-6066 | |
Dr. Yong-han Shi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1301 California St, Podiatry Dept, Redlands, CA 92374 Phone: 909-809-3212 | |
Dr. Mathew Jared Morris, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 16 East Fern Ave, Suite A, Redlands, CA 92373 Phone: 909-792-6066 | |
Aimee Margaret Montoya, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 16 E Fern Ave Ste A, Redlands, CA 92373 Phone: 909-792-6066 Fax: 909-792-4424 | |
John T Williams Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 16 E Fern Ave, Ste A, Redlands, CA 92373 Phone: 909-792-6066 Fax: 909-792-4424 |