Organization
RUSSELL J. WOJCIK, D.P.M., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL J WOJCIK D.P.M. (PRESIDENT)
(213) 385-1266
Entity
Organization
Contact information
Practice address
2677 ZOE AVE STE 114, HUNTINGTON PARK, CA 90255-7209
(213) 385-1266
Mailing address
12807 ELKWOOD ST, NORTH HOLLYWOOD, CA 91605-2035
(213) 385-1266
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E19200
—
CA
Enumeration date
05/14/2007
Last updated
08/22/2020
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