Individual
DR. JOSEPH ANTHONY ADDIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1510 S CENTRAL AVE, SUITE 120, GLENDALE, CA 91204-2577
(818) 242-3668
(818) 242-3668
Mailing address
PO BOX 3174, GLENDALE, CA 91221-0174
(818) 242-3668
(818) 242-2425
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4289
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E42893
—
CA
Enumeration date
09/25/2006
Last updated
08/14/2008
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