Organization
PODIATRY ASSOCIATES OF SAN DIEGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN R TAUBMAN D.P.M. (PRESIDENT/OWNER)
(619) 298-1733
Entity
Organization
Contact information
Practice address
3330 THIRD AVENUE #402, SAN DIEGO, CA 92103-5639
(619) 298-1733
(619) 294-9604
Mailing address
3330 THIRD AVENUE #402, SAN DIEGO, CA 92103-5639
(619) 298-1733
(619) 294-9604
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4134698
AETNA
CA
01
—
ZZZ07925Z
BLUE SHIELD OF CALIF
CA
Enumeration date
12/20/2006
Last updated
02/03/2015
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