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Organization
FOOT CLINIC OF SANTA CRUZ COUNTY, INC
Active
Organization
FOOT CLINIC OF SANTA CRUZ COUNTY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON L NOVICK DPM (OWNER)
(831) 462-2132
Entity
Organization
Contact information
Practice address
525 CAPITOLA AVE, CAPITOLA, CA 95010-2759
(831) 462-2132
(831) 462-2930
Mailing address
525 CAPITOLA AVE, CAPITOLA, CA 95010-2759
(831) 462-2132
(831) 462-2930
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4661
CA
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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