National Provider Identifier Database

BERKELEY FOOT CLINIC PODIATRY GROUP A PROFESSIONAL CORPORATION
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

BERKELEY FOOT CLINIC PODIATRY GROUP A PROFESSIONAL CORPORATION
3000 COLBY ST STE 104
BERKELEY, CA94705-2090
Phone: 510-849-3800
Fax: 510-849-3810
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for BERKELEY FOOT CLINIC PODIATRY GROUP A PROFESSIONAL CORPORATION

NPI Number 1639472301
Legal business name
LBN
BERKELEY FOOT CLINIC PODIATRY GROUP A PROFESSIONAL CORPORATION
Authorized official MARK WOLPA - (PRESIDENT/ OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/17/2010
Last updated 05/06/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: E1852

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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