| West La Foot Doctor Inc. | |
|
425 W Bonita Ave Ste 110, San Dimas, CA 91773-2543 | |
| (909) 599-0981 | |
| (909) 592-0738 |
| Full Name | West La Foot Doctor Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 425 W Bonita Ave Ste 110, San Dimas, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437542784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4600 (California) | Primary |
| Provider Name | Nina C Robinson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477696078 PECOS PAC ID: 4789781899 Enrollment ID: I20070524000645 |
| Provider Name | Jonathan Tiongson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1487607685 PECOS PAC ID: 8921071499 Enrollment ID: I20090317000470 |
| Mailing Address | Practice Location Address |
|---|---|
| West La Foot Doctor Inc. 425 W Bonita Ave Ste 110, San Dimas, CA 91773-2543 Ph: (909) 599-0981 | West La Foot Doctor Inc. 425 W Bonita Ave Ste 110, San Dimas, CA 91773-2543 Ph: (909) 599-0981 |
Thomas E Smith Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 W Bonita Ave Ste 110, San Dimas, CA 91773 Phone: 909-599-0981 Fax: 909-592-0738 | |
Dr. Edwin Oghoorian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 150 W Foothill Blvd Unit F, San Dimas, CA 91773 Phone: 626-385-3338 Fax: 626-914-4119 | |
Ira A Diamond, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 W Bonita Ave Ste 110, San Dimas, CA 91773 Phone: 909-599-0981 Fax: 909-592-0738 | |
Walker Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 W Bonita Ave Ste 110, San Dimas, CA 91773 Phone: 909-599-0981 Fax: 909-592-0738 | |
Thomas E Smith, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 W Bonita Ave Ste 110, San Dimas, CA 91773 Phone: 909-599-0981 Fax: 909-592-0738 | |
Jack A Koch, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 425 W Bonita Ave Ste 110, San Dimas, CA 91773 Phone: 714-990-9153 Fax: 714-990-9154 |