1ST INDUSTRIAL MEDICAL GROUP

NPI 1689863995 Active Podiatrist

Quick Facts

NPI Number

1689863995

Type

Organization (NPI-2)

Status

Active

Enumeration Date

2007-10-23

Last Updated (NPPES)

2008-06-24

Primary Specialty / Taxonomy

Taxonomy	Podiatrist
Taxonomy Code	`213E00000X`

Other Taxonomies

Chiropractor
Anesthesiology, Pain Medicine
Internal Medicine
Orthopaedic Surgery, Foot and Ankle Surgery
Physical Medicine & Rehabilitation
Surgery, Plastic and Reconstructive Surgery
Thoracic Surgery (Cardiothoracic Vascular Surgery)

Practice Address

1234 W CHAPMAN AVE
SUITE 204
ORANGE, CA 928682862

Phone: 714-289-4693

Fax: 714-289-4698

Mailing Address

1234 W CHAPMAN AVE
ORANGE, CA 928682862

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.