Individual
NICHOLAS C CRISMALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
18151 BEAR VALLEY RD, HESPERIA, CA 92345-4907
(760) 948-7400
(760) 948-7866
Mailing address
18151 BEAR VALLEY RD, HESPERIA, CA 92345-4907
(760) 948-7400
(760) 948-7866
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3433
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3433
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E34330
—
CA
01
—
480031711
RR MEDICARE
—
Enumeration date
11/17/2006
Last updated
02/12/2020
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