Organization
ORANGE COUNTY FOOT AND ANKLE GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN IAN BENNETT D.P.M. (PRESIDENT)
(714) 888-6860
Entity
Organization
Contact information
Practice address
300 N EUCLID ST, SUITE A, FULLERTON, CA 92832-1623
(714) 888-6860
(714) 888-6867
Mailing address
300 N EUCLID ST, SUITE A, FULLERTON, CA 92832-1623
(714) 888-6860
(714) 888-6867
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4301
CA
Other
Enumeration date
07/09/2006
Last updated
03/19/2018
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