Organization
INLAND PODIATRY GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY ALLEN BUSCH DPM (PRESIDENT)
(951) 781-3660
Entity
Organization
Contact information
Practice address
4049 ALMOND ST, SUITE 101, RIVERSIDE, CA 92501-3531
(951) 781-3660
(951) 781-3661
Mailing address
4049 ALMOND ST, SUITE 101, RIVERSIDE, CA 92501-3531
(951) 781-3660
(951) 781-3661
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ66074Z
BLUE SHIELD
CA
Enumeration date
10/06/2006
Last updated
08/12/2022
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