Organization
FOOT & ANKLE CHAMPIONS INCD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CORPUZ DPM (PODIATRIST)
(310) 475-5377
Entity
Organization
Contact information
Practice address
2288 WESTWOOD BLVD, 100, LOS ANGELES, CA 90064
(310) 475-5377
(310) 446-1825
Mailing address
4115 CENTRALIA ST, LAKEWOOD, CA 90712
(562) 857-7823
(310) 446-1825
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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