Carrasco Podiatry Corporation

NPI #1043339260 in Rancho Cucamonga, California

Provider Information

NPI Number: 1043339260
Entity Type: Organization
Organization Name: Carrasco Podiatry Corporation
Primary Specialty: Podiatrist
Enumeration Date: Mar 28, 2007
Last Updated: Nov 11, 2012

Practice Location

Address: 7196 SUNNYSIDE PL
City: Rancho Cucamonga
State: California
ZIP Code: 91739-5995
Phone: (951) 212-6661

Authorized Official

Name: DR. PETE CARRASCO JR., D.P.M.
Title: DOCTOR OF PODIATRIC MEDICINE
Phone: (951) 212-6661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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