Organization
ALL CITY PODIATRY CLINIC, INC.
Active
Organization
ALL CITY PODIATRY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA THERESA PANLILIO SANICOLAS D.P.M. (PRESIDENT)
(619) 470-6800
Entity
Organization
Contact information
Practice address
610 EUCLID AVE, SUITE 304, NATIONAL CITY, CA 91950-2953
(619) 470-6800
(619) 470-2685
Mailing address
610 EUCLID AVE, SUITE 304, NATIONAL CITY, CA 91950-2953
(619) 470-6800
(619) 470-2685
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E4303
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRE001540
—
CA
Enumeration date
03/02/2006
Last updated
12/17/2007
Update your record
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