Ocean Regional Surgical Podiatric Group

NPI #1144301920 in Stanton, California

Provider Information

NPI Number: 1144301920
Entity Type: Organization
Organization Name: Ocean Regional Surgical Podiatric Group
Primary Specialty: Podiatrist
Enumeration Date: Oct 18, 2006
Last Updated: Nov 1, 2007

Practice Location

Address: 7108 KATELLA AVE
Address 2: PMB 400
City: Stanton
State: California
ZIP Code: 90680-2803
Phone: (949) 218-8185

Authorized Official

Name: DOMENIC SIGNORELLI, DPM
Title: AUTHORIZED OFFICIAL
Phone: (949) 218-8185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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