Organization
THE DIABETIC SHOE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISQAY AYO OTIKO DPM (CEO)
(714) 334-6214
Entity
Organization
Contact information
Practice address
2661 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4793
(323) 583-4440
Mailing address
2661 E FLORENCE AVE, HUNTINGTON PARK, CA 90255-4793
(323) 583-4440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
E4159
CA
Other
Enumeration date
06/07/2006
Last updated
08/22/2020
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