# SPENCER RODRIGUEZ PODIATRY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern California Foot and Ankle Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619396884
- **Authorized official:** DR. ROBERT J SPENCER D.P.M. (CO-FOUNDER)
- **Authorized official phone:** (714) 488-0666

## Contact information

- **Practice address:** 333 CORPORATE DR STE 230, LADERA RANCH, CA 92694-2180
- **Practice address phone:** (949) 364-9255
- **Practice address fax:** (949) 364-9250
- **Mailing address:** 333 CORPORATE DR STE 230, LADERA RANCH, CA 92694-2180
- **Mailing address phone:** (949) 364-9255
- **Mailing address fax:** (949) 364-9250

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4790 | CA | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4828 | CA | — |
| 261QP1100X | Podiatric Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/15/2014
- **Last updated:** 06/11/2024