Organization
INLAND PODIATRY CENTER PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM C. LANDREY D.P.M. (OWNER,PODIATRIST)
(909) 987-3211
Entity
Organization
Contact information
Practice address
9474 BASELINE RD, ALTA LOMA, CA 91701-5822
(909) 987-3211
(909) 987-0317
Mailing address
9474 BASELINE RD, ALTA LOMA, CA 91701-5822
(909) 987-3211
(909) 987-0317
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1457
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E14572
—
CA
01
—
E1457
LICENSE NUMBER
CA
Enumeration date
05/15/2007
Last updated
04/06/2015
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