Organization
PACIFIC FOOT AND ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GODDARD (CEO PRESIDENT)
(714) 542-0656
Entity
Organization
Contact information
Practice address
1125 E 17TH ST, SUITE E107, SANTA ANA, CA 92701-2201
(714) 542-0656
Mailing address
1125 E 17TH ST, SUITE E107, SANTA ANA, CA 92701-2201
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4398
CA
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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