Organization
RIVERSIDE FOOT AND ANKLE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA BRESHEARS DPM (COO)
(310) 534-9131
Entity
Organization
Contact information
Practice address
6216 BROCKTON AVE STE 211, RIVERSIDE, CA 92506-2223
(909) 946-6643
(909) 946-6130
Mailing address
3521 LOMITA BLVD STE 103, TORRANCE, CA 90505-5041
(310) 534-9131
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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