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Organization
CALIFORNIA FOOT AND ANKLE INSTITUTE, A PODIATRY CORPORATION
Active
Organization
CALIFORNIA FOOT AND ANKLE INSTITUTE, A PODIATRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL GODDARD DPM (OWNER)
(949) 833-3406
Entity
Organization
Contact information
Practice address
20360 SW BIRCH ST STE 100, NEWPORT BEACH, CA 92660-1532
(949) 833-3406
(949) 833-9955
Mailing address
20360 SW BIRCH ST STE 100, NEWPORT BEACH, CA 92660-1532
(949) 833-3406
(949) 833-9955
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1371
CA
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF6858
RR MEDICARE GROUP
CA
05
—
GRE000060
—
CA
Enumeration date
01/26/2007
Last updated
06/17/2022
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