# PARK ROW PODIATRY INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nicholas N. DeSantis DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164736476
- **Authorized official:** DR. NICHOLAS NELSON DESANTIS DPM (CEO/OWNER)
- **Authorized official phone:** (619) 239-3286

## Contact information

- **Practice address:** 2306 6TH AVE, SAN DIEGO, CA 92101-1643
- **Practice address phone:** (619) 239-3286
- **Practice address fax:** (619) 239-0172
- **Mailing address:** 2306 6TH AVE, SAN DIEGO, CA 92101-1643
- **Mailing address phone:** (619) 239-3286
- **Mailing address fax:** (619) 239-0172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E2474 | CA | Yes |

## Other

- **Enumeration date:** 07/28/2010
- **Last updated:** 11/18/2010