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Organization

ORANGE COUNTY FOOT & ANKLE GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JONATHAN IAN BENNETT DPM (PRESIDENT)
(714) 832-0271
Entity
Organization

Contact information

Practice address
17400 IRVINE BLVD, SUITE J, TUSTIN, CA 92780-3030
(714) 832-0271
(714) 832-0272
Mailing address
17400 IRVINE BLVD, SUITE J, TUSTIN, CA 92780-3030
(714) 832-0271
(714) 832-0272

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4301
CA

Other

Enumeration date
12/21/2007
Last updated
12/21/2007
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