# NORTH BAY FOOT AND ANKLE CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Adelina Stateva DPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417292723
- **Authorized official:** TONIA SILVA (OFFICE MANAGER)
- **Authorized official phone:** (707) 263-9595

## Contact information

- **Practice address:** 175 PARK ST, LAKEPORT, CA 95453-4803
- **Practice address phone:** (707) 263-9595
- **Practice address fax:** (707) 263-5576
- **Mailing address:** 175 PARK ST, LAKEPORT, CA 95453-4803
- **Mailing address phone:** (707) 263-9595
- **Mailing address fax:** (707) 263-5576

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4562 | CA | Yes |

## Other

- **Enumeration date:** 11/28/2012
- **Last updated:** 04/30/2013