Individual
DR. SANDI ELLEDGE MATARANGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
227 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 871-3400
(408) 871-5217
Mailing address
227 N JACKSON AVE, SAN JOSE, CA 95116-1603
(408) 871-3200
(408) 871-5217
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4328
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E4328
CA
Other
Enumeration date
08/23/2006
Last updated
12/07/2020
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