| |
6425 Lynch Canyon Dr., Lake Isabella, CA 93240-9726 | |
(760) 379-8630 | |
(760) 379-7658 |
Full Name | |
---|---|
Type | Facility |
Speciality | Podiatrist - Foot & Ankle Surgery |
Location | 6425 Lynch Canyon Dr., Lake Isabella, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407215544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213ES0103X | Podiatrist - Foot & Ankle Surgery | E4349 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
6425 Lynch Canyon Dr., Lake Isabella, CA 93240-9726 Ph: (760) 379-8630 | 6425 Lynch Canyon Dr., Lake Isabella, CA 93240-9726 Ph: (760) 379-8630 |
Holly Spohn-gross, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 6425 Lynch Canyon Dr, Lake Isabella, CA 93240 Phone: 760-379-8630 Fax: 760-379-7658 |