| Providence Podiatry Care, Inc. | |
|
10621 Church St Ste 120, Rancho Cucamonga, CA 91730-6834 | |
| (909) 944-0481 | |
| (909) 944-3161 |
| Full Name | Providence Podiatry Care, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 10621 Church St Ste 120, Rancho Cucamonga, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033881735 | NPI | - | NPPES |
| 1831127349 | Medicaid | CA | |
| 1831127349 | Other | CA | MOLINA MEDICAL GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Podiatry Care, Inc. 10621 Church St Ste 120, Rancho Cucamonga, CA 91730-6834 Ph: (909) 944-0481 | Providence Podiatry Care, Inc. 10621 Church St Ste 120, Rancho Cucamonga, CA 91730-6834 Ph: (909) 944-0481 |
Carrasco Podiatry Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 7196 Sunnyside Pl, Rancho Cucamonga, CA 91739 Phone: 951-212-6661 Fax: 909-987-3292 | |
Dr. Pete Carrasco Jr., D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 7196 Sunnyside Pl, Rancho Cucamonga, CA 91739 Phone: 951-212-6661 Fax: 909-987-3292 | |
Michael Jae Bum Kim, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 9353 Fairway View Pl Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-858-2772 Fax: 909-300-6324 | |
Susanna Chan D.p.m., Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 8283 Grove Ave Ste 207b, Rancho Cucamonga, CA 91730 Phone: 909-500-3007 | |
Dr. Dhaval I Patel, D.P.M Podiatrist Medicare: Medicare Enrolled Practice Location: 10112 Foothill Blvd Unit 255, Rancho Cucamonga, CA 91730 Phone: 917-774-6768 | |
Albert Kim, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8283 Grove Ave Ste 106, Rancho Cucamonga, CA 91730 Phone: 909-500-3007 Fax: 909-530-3007 |