| Cupertino Podiatry Inc. | |
|
10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 | |
| (408) 446-5811 | |
| (408) 996-1637 |
| Full Name | Cupertino Podiatry Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 10353 Torre Ave, Cupertino, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942432505 | NPI | - | NPPES |
| 1942432505 | Medicaid | CA | |
| CD479A | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4260 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cupertino Podiatry Inc. 15100 Los Gatos Blvd Ste 4, Los Gatos, CA 95032-2028 Ph: (408) 358-6234 | Cupertino Podiatry Inc. 10353 Torre Ave, Suite C, Cupertino, CA 95014-3217 Ph: (408) 446-5811 |
Dr. Michael Joseph Cornelison, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10353 Torre Ave, Suite C, Cupertino, CA 95014 Phone: 408-446-5811 Fax: 408-996-1637 | |
Voong Chuang Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1030 Pennington Ln, Cupertino, CA 95014 Phone: 408-786-7677 | |
Dr. Adam Sean Howard, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10353 Torre Ave, Suite C, Cupertino, CA 95014 Phone: 408-446-5811 | |
Kevin Ragothaman, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10353 Torre Ave Ste C, Cupertino, CA 95014 Phone: 408-358-6234 Fax: 202-362-3330 |