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Organization

JIG PODIATRY INC

Active
Other names
JIG PODIATRY, INC
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB IRVING GREEN DPM (PRESIDENT)
(818) 442-4642
Entity
Organization

Contact information

Practice address
2605 E DATE PALM PASEO APT 3226, ONTARIO, CA 91764-4681
(818) 442-4642
Mailing address
2605 E DATE PALM PASEO APT 3226, ONTARIO, CA 91764-4681
(818) 442-4642

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
10/17/2023
Last updated
09/02/2025
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