Christopher Tatum, | |
11301 Wilshire Blvd, Los Angeles, CA 90073-1003 | |
(310) 478-3711 | |
Not Available |
Full Name | Christopher Tatum |
---|---|
Gender | Male |
Speciality | Podiatry |
Experience | 5 Years |
Location | 11301 Wilshire Blvd, Los Angeles, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063908853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | E5695 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lac/olive View-ucla Medical Center | Sylmar, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Foot And Ankle Concepts, Inc. | 5395770085 | 7 |
Provider Name | Foot & Ankle Concepts, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265464820 PECOS PAC ID: 5395770085 Enrollment ID: O20050930000645 |
Mailing Address | Practice Location Address |
---|---|
Christopher Tatum, 2100 Solar Dr, Ste 102, Oxnard, CA 93036-0649 Ph: (805) 988-3338 | Christopher Tatum, 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 Ph: (310) 478-3711 |
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