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Organization
ASSOCIATED PODIATRY GROUP OF SAN CARLOS
Active
Organization
ASSOCIATED PODIATRY GROUP OF SAN CARLOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CURTIS D. LEVIANT D.P.M. (PRESIDENT)
(650) 593-8083
Entity
Organization
Contact information
Practice address
961 LAUREL ST, SUITE 100, SAN CARLOS, CA 94070-3949
(650) 593-8083
(650) 593-9145
Mailing address
961 LAUREL ST, SUITE 100, SAN CARLOS, CA 94070-3949
(650) 593-8083
(650) 593-9145
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3224
CA
332B00000X
Durable Medical Equipment & Medical Supplies
E3224
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ11218Z
MEDICARE GROUP
CA
Enumeration date
09/27/2006
Last updated
08/18/2011
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