Organization
PRISTINE FOOT AND ANKLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA HAIDER PDM (PDM/OWNER)
(949) 209-9590
Entity
Organization
Contact information
Practice address
29839 SANTA MARGARITA PKWY STE 100, RANCHO SANTA MARGARITA, CA 92688-3616
(949) 209-9590
Mailing address
29839 SANTA MARGARITA PKWY STE 100, RANCHO SANTA MARGARITA, CA 92688-3616
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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