Organization
FEET 1ST PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD REZA AHMADINIA M.D. (OWNER)
(949) 382-4939
Entity
Organization
Contact information
Practice address
10807 LAUREL ST STE 220, RANCHO CUCAMONGA, CA 91730-0633
(909) 527-3585
(909) 527-3627
Mailing address
10807 LAUREL ST STE 220, RANCHO CUCAMONGA, CA 91730-0633
(909) 527-3585
(909) 527-3627
Taxonomy
Speciality
Code
Description
License number
State
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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