# ORANGE COUNTY FOOT AND ANKLE GROUP, INC.

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

## Provider details

- **NPI number:** 1639102833
- **Authorized official:** DR. JONATHAN IAN BENNETT D.P.M. (PRESIDENT)
- **Authorized official phone:** (714) 888-6860

## Contact information

- **Practice address:** 300 N EUCLID ST, SUITE A, FULLERTON, CA 92832-1623
- **Practice address phone:** (714) 888-6860
- **Practice address fax:** (714) 888-6867
- **Mailing address:** 300 N EUCLID ST, SUITE A, FULLERTON, CA 92832-1623
- **Mailing address phone:** (714) 888-6860
- **Mailing address fax:** (714) 888-6867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4301 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 03/19/2018