| North Peninsula Podiatry Group, Inc. | |
|
560 Jenevein Avenue, San Bruno, CA 94066 | |
| (650) 588-9189 | |
| (650) 588-2814 |
| Full Name | North Peninsula Podiatry Group, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 560 Jenevein Avenue, San Bruno, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104985886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E3983 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| North Peninsula Podiatry Group, Inc. 560 Jenevein Avenue, San Bruno, CA 94066 Ph: (650) 588-9189 | North Peninsula Podiatry Group, Inc. 560 Jenevein Avenue, San Bruno, CA 94066 Ph: (650) 588-9189 |
North Peninsula Podiatry Group Podiatrist Medicare: Medicare Enrolled Practice Location: 560 Jenevein Ave, San Bruno, CA 94066 Phone: 650-588-9189 Fax: 650-588-2814 | |
Robert Edward Tang, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 560 Jenevein Ave, San Bruno, CA 94066 Phone: 650-588-9189 Fax: 650-588-2814 | |
Dr. Arman A Kirakosian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 560 Jenevein Ave, San Bruno, CA 94066 Phone: 650-588-9189 Fax: 650-588-2814 | |
North Peninsula Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 560 Jenevein Ave, San Bruno, CA 94066 Phone: 650-588-9189 Fax: 650-588-2814 |