Organization
FOOT SPECIALISTS OF NORTH CONUNTY PODIATRY GROUP,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD VANDERHEYDEN D.P.M. (PRESIDENT/SECRETARY)
(760) 724-5560
Entity
Organization
Contact information
Practice address
1011 S SANTA FE AVE, SUITE F, VISTA, CA 92083-6917
(760) 724-5560
(760) 724-6052
Mailing address
1011 S SANTA FE AVE, SUITE F, VISTA, CA 92083-6917
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E-3486
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E-34860
—
CA
Enumeration date
04/21/2008
Last updated
04/21/2008
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