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Organization

COASTAL FOOT CARE SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL GLODOWSKI DPM (PREISENT/OWNER)
(805) 531-1089
Entity
Organization

Contact information

Practice address
3901 LAS POSAS RD, SUITE #9, CAMARILLO, CA 93010-1501
(805) 531-1089
(808) 531-5489
Mailing address
3901 LAS POSAS RD, SUITE #9, CAMARILLO, CA 93010-1501
(805) 531-1089
(808) 531-5489

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E4616
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4616
CA

Other

Enumeration date
08/13/2008
Last updated
09/17/2014
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