Med-Ped I D Incorporated

NPI #1982266672 in Murrieta, California

Provider Information

NPI Number: 1982266672
Entity Type: Organization
Organization Name: Med-Ped I D Incorporated
Primary Specialty: Podiatrist
Enumeration Date: Jul 2, 2019
Last Updated: Jul 2, 2019

Practice Location

Address: 28078 BAXTER RD STE 424
City: Murrieta
State: California
ZIP Code: 92563-1404
Phone: (951) 679-1020

Authorized Official

Name: SONG YUN, RN
Title: NURSE MANAGER
Phone: (951) 679-5811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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