# HIGH DESERT FOOT & ANKLE CLINIC A

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104204775
- **Authorized official:** WONSIK Y BOLLMANN DPM (OWNER/PODIATRIST)
- **Authorized official phone:** (760) 951-1234

## Contact information

- **Practice address:** 15366 11TH ST, SUITE A, VICTORVILLE, CA 92395-3726
- **Practice address phone:** (760) 951-1234
- **Practice address fax:** (760) 951-1611
- **Mailing address:** 15366 11TH ST, SUITE A, VICTORVILLE, CA 92395-3726
- **Mailing address phone:** (760) 951-1234
- **Mailing address fax:** (760) 951-1611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E3966 | CA | Yes |

## Other

- **Enumeration date:** 05/14/2015
- **Last updated:** 06/25/2024