Organization
SUCHIR SHETH PODIATRY CORPORATION
Active
Other names
SoCal Sports Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUCHIR KETAN SHETH DPM (PRESIDENT)
(717) 250-9383
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD STE 465W, SANTA MONICA, CA 90404-2178
(310) 396-5025
(888) 798-0180
Mailing address
2001 SANTA MONICA BLVD STE 465W, SANTA MONICA, CA 90404-2178
(310) 396-5025
(888) 798-0180
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093262099
PPO
CA
Enumeration date
02/20/2023
Last updated
04/17/2023
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