Organization
JOSEPH ADDIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ADDIEGO DMP (OWNER)
(818) 242-3668
Entity
Organization
Contact information
Practice address
1510 S CENTRAL AVE STE 120, GLENDALE, CA 91204-2576
(818) 242-3668
Mailing address
1510 S CENTRAL AVE STE 120, GLENDALE, CA 91204-2576
(818) 242-3668
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4289
CA
Other
Enumeration date
01/17/2008
Last updated
08/22/2008
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