Organization
CHINO HILLS PODIATRY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA MARIE-LOUISE TAYLOR DPM (OWNER)
(909) 287-0677
Entity
Organization
Contact information
Practice address
15944 LOS SERRANOS COUNTRY CLUB DR STE 130, CHINO HILLS, CA 91709-3254
(909) 287-0677
(909) 631-2919
Mailing address
15944 LOS SERRANOS COUNTRY CLUB DR STE 130, CHINO HILLS, CA 91709-3254
(909) 287-0677
(909) 631-2919
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E42580
—
CA
Enumeration date
12/14/2006
Last updated
04/11/2012
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