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Organization

COAST PODIATRY GROUP OF SOLANA BEACH INC.

Active
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Organization

COAST PODIATRY GROUP OF SOLANA BEACH INC.

Active
Parent organization
COAST PODIATRY GROUP OF SOLANA BEACH INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
COAST PODIATRY GROUP OF SOLANA BEACH INC.
Authorized official
JACK REINGOLD DPM (OWNER)
(858) 755-6055
Entity
Organization

Contact information

Practice address
550 LOMAS SANTA FE DR, SUITE B, SOLANA BEACH, CA 92075-1341
(858) 755-6055
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809

Taxonomy

Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
NULL

Other

Enumeration date
11/09/2011
Last updated
11/09/2011
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