Organization
GERIATRIC PODIATRY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H TABB DPM (OWNER)
(909) 599-0981
Entity
Organization
Contact information
Practice address
425 W BONITA AVE STE 110, SAN DIMAS, CA 91773-2543
(909) 599-0981
(909) 592-0738
Mailing address
425 W BONITA AVE STE 110, SAN DIMAS, CA 91773-2543
(909) 599-0981
(909) 592-0738
Taxonomy
Speciality
Code
Description
License number
State
213EP0504X
Public Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ3207
PALMETTO GBA
CA
05
—
GRE000050
—
CA
05
—
GRE000052
—
CA
Enumeration date
11/29/2006
Last updated
12/16/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us