Organization
RICHARD M AND DONALD R GREEN PTRS DBA SAN DIEGO PODIATRY GROUP
Active
Other names
San Diego Podiatry Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN CULLEN DPM (PODIATRIST)
(619) 291-0777
Entity
Organization
Contact information
Practice address
2650 CAMINO DEL RIO N, SUITE 101, SAN DIEGO, CA 92108-1621
(619) 291-0777
(619) 291-3231
Mailing address
2650 CAMINO DEL RIO N, SUITE 101, SAN DIEGO, CA 92108-1621
(619) 291-0777
(619) 291-3231
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRE000300
—
CA
01
—
ZZZ40809Z
BLUE SHIELD
CA
Enumeration date
05/20/2006
Last updated
04/07/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us