Organization
FOOT AND ANKLE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C ZIMMERMAN DPM (MANAGING PARTNER)
(661) 663-8483
Entity
Organization
Contact information
Practice address
840 TUCKER ROAD, SUITE G, TEHACHAPI, CA 93561
(661) 822-5537
(661) 822-4307
Mailing address
9300 STOCKDALE HIGHWAY, SUITE 440, BAKERSFIELD, CA 93311
(661) 663-8483
(661) 663-3095
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH7243
RR MEDICARE
—
01
—
ZZZ60037Z
BLUE SHIELD
CA
Enumeration date
11/17/2006
Last updated
05/06/2009
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