Organization
SAN FRANCISCO FOOT AND ANKLE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY A ANDERSON (OFFICE MANAGER)
(415) 898-9818
Entity
Organization
Contact information
Practice address
2250 HAYES ST, SUITE 4A, SAN FRANCISCO, CA 94117-1078
(415) 750-1992
(415) 892-3475
Mailing address
165 ROWLAND WAY, SUITE 206, NOVATO, CA 94945-5038
(415) 750-1992
(415) 892-3475
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480010376
RAILROAD MEDICARE
CA
01
—
ZZZ85081Z
BLUE SHIELD
CA
Enumeration date
01/22/2007
Last updated
08/22/2008
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