# ASSOCIATED PODIATRY GROUP OF SAN CARLOS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ASSOCIATED PODIATRY GROUP OF SAN CARLOS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1508954199
- **Legal business name:** ASSOCIATED PODIATRY GROUP OF SAN CARLOS
- **Authorized official:** DR. CURTIS D. LEVIANT D.P.M. (PODIATRIST)
- **Authorized official phone:** (650) 593-8083

## Contact information

- **Practice address:** 961 LAUREL ST, SUITE 100, SAN CARLOS, CA 94070-3949
- **Practice address phone:** (650) 593-8083
- **Practice address fax:** (650) 593-9145
- **Mailing address:** 961 LAUREL ST, SUITE 100, SAN CARLOS, CA 94070-3949
- **Mailing address phone:** (650) 593-8083
- **Mailing address fax:** (650) 593-9145

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 08/18/2011
