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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 Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

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

NPI # 1639472301
LBN Legal business name BERKELEY FOOT CLINIC PODIATRY GROUP A PROFESSIONAL CORPORATION
Authorized official MARK WOLPA - (PRESIDENT/ OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/17/2010
Last updated 05/06/2014 - About 12 years ago
Identifiers
CA License # E1852
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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