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
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