| Delta Podiatry Group, Inc. | |
|
1205 N Hunter St, Stockton, CA 95202-1409 | |
| (209) 464-7367 | |
| (209) 464-1801 |
| Full Name | Delta Podiatry Group, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 1205 N Hunter St, Stockton, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023169471 | NPI | - | NPPES |
| E1406 | Other | CA | LICENSE NUMBER |
| ZZZ73253Z | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E1406 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Podiatry Group, Inc. 1205 N Hunter St, Stockton, CA 95202-1409 Ph: (209) 464-7367 | Delta Podiatry Group, Inc. 1205 N Hunter St, Stockton, CA 95202-1409 Ph: (209) 464-7367 |
Craig Anthony Lenz, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1755 W Hammer Ln Ste 7b, Stockton, CA 95209 Phone: 909-599-0891 Fax: 909-592-0738 | |
Igal Palma, Podiatrist Medicare: Medicare Enrolled Practice Location: 221 E 8th St, Stockton, CA 95206 Phone: 213-718-4901 | |
Kenneth K Shimozaki, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3031 W March Ln, Suite 310, Stockton, CA 95219 Phone: 209-472-0800 Fax: 209-472-1203 | |
Darrell G Paul, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000 | |
Dr. Rabeea Khan, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 3031 W March Ln Ste 310, Stockton, CA 95219 Phone: 209-472-0800 Fax: 209-472-1203 | |
Seiha Thorng, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 420 W Acacia St Ste 18, Stockton, CA 95203 Phone: 209-425-4846 Fax: 209-425-0570 |