Individual
MS. PATRICIA LYNN FORG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3989 32ND ST, SAN DIEGO, CA 92104-2001
(619) 283-2097
(619) 283-2540
Mailing address
3989 32ND ST, SAN DIEGO, CA 92104-2001
(619) 283-2097
(619) 283-2540
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E3775
—
CA
Enumeration date
08/21/2006
Last updated
06/16/2009
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