| Fallbrook Podiatry, Inc | |
|
407 Potter St Ste A, Fallbrook, CA 92028-3086 | |
| (760) 728-4800 | |
| (760) 728-0061 |
| Full Name | Fallbrook Podiatry, Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Primary Podiatric Medicine |
| Location | 407 Potter St Ste A, Fallbrook, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861825523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | E4987 (California) | Primary |
| Provider Name | Grigoriy Patish |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1609817535 PECOS PAC ID: 6709778616 Enrollment ID: I20120913000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Fallbrook Podiatry, Inc 407 Potter St Ste A, Fallbrook, CA 92028-3086 Ph: (760) 728-4800 | Fallbrook Podiatry, Inc 407 Potter St Ste A, Fallbrook, CA 92028-3086 Ph: (760) 728-4800 |
Dr. Grigoriy N Patish, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 407 Potter St Ste A, Fallbrook, CA 92028 Phone: 760-728-4800 Fax: 760-728-0061 | |
Frank J Witt, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1092 S Main Ave, Fallbrook, CA 92028 Phone: 760-728-4800 Fax: 760-728-0061 |