Individual
DR. JERI M GRUENES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1041 E YORBA LINDA BLVD, SUITE 201, PLACENTIA, CA 92870-3728
(714) 985-9168
(714) 985-9161
Mailing address
PO BOX 541, YORBA LINDA, CA 92885-0541
(714) 985-9168
(714) 990-2855
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4532
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000E45320
BCBS
CA
01
—
P00470568
RAILROAD MEDICARE
CA
Enumeration date
09/23/2006
Last updated
07/24/2023
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