Organization
SOUTH BAY FOOT & ANKLE SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANGUS CHISHOLM DPM (PRESIDENT)
(619) 427-3481
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR STE 510, LA MESA, CA 91942-3024
(941) 776-4822
Mailing address
345 F ST STE 100, CHULA VISTA, CA 91910-2632
(619) 427-3481
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BZS56322222
LIABILITY INSURANCE
—
Enumeration date
09/07/2020
Last updated
09/07/2020
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