South Bay Podiatry Office INC

NPI #1649964255 in Redondo Beach, California

Provider Information

NPI Number: 1649964255
Entity Type: Organization
Organization Name: South Bay Podiatry Office INC
Primary Specialty: Podiatrist
Enumeration Date: Jun 6, 2023
Last Updated: Jun 6, 2023

Practice Location

Address: 2407 THOMAS AVE
City: Redondo Beach
State: California
ZIP Code: 90278-1528
Phone: (323) 620-2493

Authorized Official

Name: VIRIT D BUTANI
Title: OWNER
Phone: (323) 620-2493

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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