Organization
COAST PODIATRY GROUP OF SOLANA BEACH INC.
Active
Parent organization
COAST PODIATRY GROUP OF SOLANA BEACH INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COAST PODIATRY GROUP OF SOLANA BEACH INC.
Authorized official
JACK REINGOLD DPM (OWNER)
(858) 755-6055
Entity
Organization
Contact information
Practice address
550 LOMAS SANTA FE DR, SUITE B, SOLANA BEACH, CA 92075-1341
(858) 755-6055
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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