Dr Mario G Porciello-donnarumma, DPM | |
333 Corporate Dr Ste 230, Ladera Ranch, CA 92694-2180 | |
(949) 364-9255 | |
Not Available |
Full Name | Dr Mario G Porciello-donnarumma |
---|---|
Gender | Male |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 333 Corporate Dr Ste 230, Ladera Ranch, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790309672 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E5925 (California) | Primary |
Provider Name | Spencer Rodriguez Podiatry Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1619396884 PECOS PAC ID: 9739305061 Enrollment ID: O20140723000896 |
Mailing Address | Practice Location Address |
---|---|
Dr Mario G Porciello-donnarumma, DPM 333 Corporate Dr Ste 230, Ladera Ranch, CA 92694-2180 Ph: (949) 364-9255 | Dr Mario G Porciello-donnarumma, DPM 333 Corporate Dr Ste 230, Ladera Ranch, CA 92694-2180 Ph: (949) 364-9255 |
Nitza Ninoska Rodriguez, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 333 Corporate Dr Ste 230, Ladera Ranch, CA 92694 Phone: 949-364-9255 Fax: 949-364-9250 | |
Southern California Foot And Ankle Specialists Podiatrist Medicare: Medicare Enrolled Practice Location: 333 Corporate Dr Ste 230, Ladera Ranch, CA 92694 Phone: 949-364-9255 Fax: 949-364-9250 | |
Dr. Robert James Spencer, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 333 Corporate Dr Ste 230, Ladera Ranch, CA 92694 Phone: 949-364-9255 Fax: 949-364-9250 |