| Jerry M Fabrikant Dpm, Inc | |
|
5565 Grossmont Center Dr Ste 3, Ste 353, La Mesa, CA 91942-3007 | |
| (619) 465-3443 | |
| (619) 466-7311 |
| Full Name | Jerry M Fabrikant Dpm, Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 5565 Grossmont Center Dr Ste 3, La Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851578819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | (* (Not Available)) | Secondary |
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Jerry M Fabrikant |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689622177 PECOS PAC ID: 4981789310 Enrollment ID: I20080310000701 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry M Fabrikant Dpm, Inc 5565 Grossmont Center Dr, Bldg 3 Ste 353, La Mesa, CA 91942-3020 Ph: (619) 465-3443 | Jerry M Fabrikant Dpm, Inc 5565 Grossmont Center Dr Ste 3, Ste 353, La Mesa, CA 91942-3007 Ph: (619) 465-3443 |
Dr. Karen E. Anderson, Apc Podiatrist Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Center Dr, Suite 152, La Mesa, CA 91942 Phone: 619-440-2202 Fax: 619-440-0502 | |
Upperline Healthcare California Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942 Phone: 619-303-7130 | |
Han Nguyen, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942 Phone: 619-303-7130 | |
Upperline Healthcare California, Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942 Phone: 619-303-7130 | |
Melchior P. Vallone, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5129 Garfield St, La Mesa, CA 91941 Phone: 619-465-3200 Fax: 619-465-3700 | |
Larry Ray Kroepel, M.D. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-644-6750 | |
Karen E Anderson, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5565 Grossmont Center Dr, Suite 152, La Mesa, CA 91942 Phone: 619-440-2202 |