Organization
ANAHEIM HILLS PODIATRY GROUP
Active
Other names
Anaheim Hills Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
LORI PREECE (PRACTICE MANAGER)
(714) 974-3338
Entity
Organization
Contact information
Practice address
6200 E CANYON RIM RD STE 111E, ANAHEIM, CA 92807-4313
(714) 974-3338
(714) 974-7683
Mailing address
6200 E CANYON RIM RD, ANAHEIM, CA 92807-4317
(714) 974-3338
(714) 974-7683
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ64700Z
BLUESHIELD GRP # - AHPG
CA
01
—
ZZZ65384Z
BLUE SHIELD GRP # -CORONA
CA
Enumeration date
10/24/2006
Last updated
10/26/2023
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