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Organization

ASSOCIATED PODIATRY GROUP OF SAN CARLOS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CURTIS D. LEVIANT D.P.M. (PRESIDENT)
(650) 593-8083
Entity
Organization

Contact information

Practice address
961 LAUREL ST, SUITE 100, SAN CARLOS, CA 94070-3949
(650) 593-8083
(650) 593-9145
Mailing address
961 LAUREL ST, SUITE 100, SAN CARLOS, CA 94070-3949
(650) 593-8083
(650) 593-9145

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3224
CA
332B00000X
Durable Medical Equipment & Medical Supplies
E3224
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ11218Z
MEDICARE GROUP
CA
Enumeration date
09/27/2006
Last updated
08/18/2011
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