Organization
WELLNESS PODIATRY CORP
Active
Parent organization
WELLNESS PODIATRY CORP
Other names
Wellness Podiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLNESS PODIATRY CORP
Authorized official
DR. BENJAMIN VAN PHAM (OWNER)
(916) 786-3434
Entity
Organization
Contact information
Practice address
1650 LEAD HILL BLVD STE 100, ROSEVILLE, CA 95661-3072
(916) 786-3434
(916) 786-6770
Mailing address
685 TWELVE BRIDGES DR STE F, LINCOLN, CA 95648-8689
(916) 786-3434
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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