| Ruben Ezquerro Dpm Inc | |
|
21500 Pioneer Blvd, Suite 107, Hawaiian Gardens, CA 90716-2600 | |
| (562) 402-5311 | |
| (562) 402-1407 |
| Full Name | Ruben Ezquerro Dpm Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 21500 Pioneer Blvd, Hawaiian Gardens, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184946386 | NPI | - | NPPES |
| 000E40421 | Medicaid | CA | |
| 000E40420 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4042 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben Ezquerro Dpm Inc Po Box 8877, Fountain Valley, CA 92728-8877 Ph: (562) 402-5311 | Ruben Ezquerro Dpm Inc 21500 Pioneer Blvd, Suite 107, Hawaiian Gardens, CA 90716-2600 Ph: (562) 402-5311 |
Euclid Foot Clinic Podiatry Group, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 21500 Pioneer Blvd, Suite 107, Hawaiian Gardens, CA 90716 Phone: 562-402-5311 Fax: 562-402-1407 | |
Ruben A Ezquerro, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 21500 Pioneer Blvd, Ste 104, Hawaiian Gardens, CA 90716 Phone: 562-402-5311 Fax: 562-402-1407 |