Gavilan Foot Care | |
80 5th St, Gilroy, CA 95020-5702 | |
(408) 842-0281 | |
(408) 848-4341 |
Full Name | Gavilan Foot Care |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 80 5th St, Gilroy, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780794644 | NPI | - | NPPES |
1629072392 | Other | CA | INDIVIDUAL NPI |
1780794644 | Other | CA | GROUP NPI |
E1702 | Other | CA | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E1702 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Gavilan Foot Care 80 5th St, Gilroy, CA 95020-5702 Ph: (408) 842-0281 | Gavilan Foot Care 80 5th St, Gilroy, CA 95020-5702 Ph: (408) 842-0281 |
Jack Elliott Fisher, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8o 5th St, Gilroy, CA 95020 Phone: 408-842-0281 Fax: 408-848-4341 | |
Kaveh Akhbari Dpm Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 80 5th St, Gilroy, CA 95020 Phone: 408-842-0281 Fax: 408-848-4341 |