| Geriatric Podiatry Medical Group Inc. | |
|
425 W Bonita Ave Ste 110, San Dimas, CA 91773-2543 | |
| (909) 599-0981 | |
| (909) 592-0738 |
| Full Name | Geriatric Podiatry Medical Group Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Public Medicine |
| Location | 425 W Bonita Ave Ste 110, San Dimas, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598832172 | NPI | - | NPPES |
| GRE000050 | Medicaid | CA | |
| CJ3207 | Other | CA | PALMETTO GBA |
| GRE000052 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP0504X | Podiatrist - Public Medicine | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Podiatry Medical Group Inc. 425 W Bonita Ave Ste 110, San Dimas, CA 91773-2543 Ph: (909) 599-0981 | Geriatric Podiatry Medical Group Inc. 425 W Bonita Ave Ste 110, San Dimas, CA 91773-2543 Ph: (909) 599-0981 |
Pacific Foot And Ankle Associates Podiatrist Medicare: Medicare Enrolled Practice Location: 150 W Foothill Blvd Unit F, San Dimas, CA 91773 Phone: 626-385-3388 Fax: 626-914-4119 | |
Thomas E Smith Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 W Bonita Ave Ste 110, San Dimas, CA 91773 Phone: 909-599-0981 Fax: 909-592-0738 | |
Dr. Edwin Oghoorian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 150 W Foothill Blvd Unit F, San Dimas, CA 91773 Phone: 626-385-3338 Fax: 626-914-4119 | |
Ira A Diamond, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 W Bonita Ave Ste 110, San Dimas, CA 91773 Phone: 909-599-0981 Fax: 909-592-0738 | |
Walker Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 W Bonita Ave Ste 110, San Dimas, CA 91773 Phone: 909-599-0981 Fax: 909-592-0738 | |
Thomas E Smith, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 W Bonita Ave Ste 110, San Dimas, CA 91773 Phone: 909-599-0981 Fax: 909-592-0738 | |
West La Foot Doctor Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 425 W Bonita Ave Ste 110, San Dimas, CA 91773 Phone: 909-599-0981 Fax: 909-592-0738 |