Organization
TRI CITY PODIATRY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE E ALANIZ DPM (PODIATRIST OWNER)
(510) 795-7099
Entity
Organization
Contact information
Practice address
37138 NILES BLVD STE A, FREMONT, CA 94536-1616
(510) 795-7099
(510) 795-1978
Mailing address
37138 NILES BLVD STE A, FREMONT, CA 94536-1616
(510) 795-7099
(510) 795-1978
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E2644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OOOE26440
—
CA
01
—
ZZZ86159Z
BLUE CROSS
CA
Enumeration date
01/26/2007
Last updated
12/04/2007
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