Organization
RUSSELL J. WOJCIK, D.P.M., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL J WOJCIK D.P.M. (PRESIDENT)
(213) 385-1266
Entity
Organization
Contact information
Practice address
419 1/2 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3013
(213) 385-1266
Mailing address
12807 ELKWOOD ST, NORTH HOLLYWOOD, CA 91605-2035
(213) 385-1266
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E19200
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E19200
—
CA
Enumeration date
01/25/2007
Last updated
12/12/2008
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