| Michael M. Fanous, D.p.m., Inc. | |
|
15366 11th St, Suite D, Victorville, CA 92395-3726 | |
| (760) 951-1238 | |
| Not Available |
| Full Name | Michael M. Fanous, D.p.m., Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 15366 11th St, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083796726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E3544 (California) | Primary |
| Provider Name | Todd M Schafer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831127349 PECOS PAC ID: 9133117468 Enrollment ID: I20040504001531 |
| Provider Name | Michael M Fanous |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639115454 PECOS PAC ID: 9830165836 Enrollment ID: I20040909000855 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael M. Fanous, D.p.m., Inc. 2834 Hamner Ave, # 113, Norco, CA 92860-1929 Ph: (760) 951-1238 | Michael M. Fanous, D.p.m., Inc. 15366 11th St, Suite D, Victorville, CA 92395-3726 Ph: (760) 951-1238 |
High Desert Foot & Ankle Clinic, A Professional Corporation Podiatrist Medicare: Medicare Enrolled Practice Location: 15366 11th St, Suite A, Victorville, CA 92395 Phone: 760-951-1234 Fax: 760-951-1611 | |
High Desert Foot & Ankle Clinic Podiatrist Medicare: Medicare Enrolled Practice Location: 15366 11th St, Ste A, Victorville, CA 92395 Phone: 760-951-1234 Fax: 760-951-1611 | |
Dr. Wonsik Y Bollmann, D.P.M Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 15366 11th St, Suite A, Victorville, CA 92395 Phone: 760-951-1234 Fax: 760-951-1611 | |
Dr. Michael M Fanous, D.p.m. , Inc., Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 15366 11th St Ste D, Victorville, CA 92395 Phone: 760-951-1238 Fax: 760-951-1473 | |
Dr. Sean Seung Joo Choi, D.P.M., M.D. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 15366 11th St Ste A, Victorville, CA 92395 Phone: 760-951-1234 | |
Mr. Michael Thomas Hickey, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 14400 Bear Valley Rd, Victorville, CA 92392 Phone: 760-951-2000 |