| Family Foot Care Specialists Podiatry Center Inc | |
|
1730 Main St, Fortuna, CA 95540-2467 | |
| (707) 725-5223 | |
| (707) 725-2756 |
| Full Name | Family Foot Care Specialists Podiatry Center Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 1730 Main St, Fortuna, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699791160 | NPI | - | NPPES |
| GRE001770 | Medicaid | CA | |
| ZZZ64279Z | Other | CA | BLUE SHIELD GROUP TAX ID |
| ZZZ64278Z | Other | CA | BLUE SHIELD GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (California) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | E2321 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Family Foot Care Specialists Podiatry Center Inc 1730 Main St, Fortuna, CA 95540-2467 Ph: (707) 725-5223 | Family Foot Care Specialists Podiatry Center Inc 1730 Main St, Fortuna, CA 95540-2467 Ph: (707) 725-5223 |
Neil R Kelley, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1730 Main St, Fortuna, CA 95540 Phone: 707-725-5223 Fax: 707-725-2756 | |
Humboldt Foot & Ankle Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1730 Main St, Fortuna, CA 95540 Phone: 707-725-5223 | |
Ali Deyhim, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1730 Main St, Fortuna, CA 95540 Phone: 707-725-5223 |