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Organization
CRISMALI PODIATRIC MEDICAL CORPORATION
Active
Organization
CRISMALI PODIATRIC MEDICAL CORPORATION
Active
Other names
Step Forward Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
PETER AWAD DPM (CEO)
(760) 948-7400
Entity
Organization
Contact information
Practice address
18151 BEAR VALLEY RD, HESPERIA, CA 92345-4907
(760) 948-7400
(760) 948-7866
Mailing address
18151 BEAR VALLEY RD, HESPERIA, CA 92345-4907
(760) 948-7400
(760) 948-7866
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3433
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66078Z
BLUE SHIELD
—
Enumeration date
09/06/2006
Last updated
05/02/2025
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