# SMITH-BURKE PODIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588981120
- **Authorized official:** CHRIS MARILUCH (OFFICE MANAGER)
- **Authorized official phone:** (714) 991-3333

## Contact information

- **Practice address:** 14642 NEWPORT AVE, SUITE 105, TUSTIN, CA 92780-6057
- **Practice address phone:** (714) 505-5000
- **Mailing address:** 1761 W ROMNEYA DR, SUITE E, ANAHEIM, CA 92801-1816
- **Mailing address phone:** (714) 991-3333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E2588 | CA | Yes |

## Other

- **Enumeration date:** 04/21/2010
- **Last updated:** 12/07/2010