MEDICARE: SPENCER STERLING DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E6079	CA

General Provider Information

NPI Number	:	1932849528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SPENCER STERLING DPM

Provider Business Mailing Address
First Line	:	5750 DOWNEY AVE STE 203
Second Line	:
City	:	LAKEWOOD
State	:	CA
Zip	:	90712-1471
Country	:	US
Telephone Number	:	562-200-0334
Fax Number	:

Provider Business Practice Location Address
First Line	:	1043 ELM AVE STE 407
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-3206
Country	:	US
Telephone Number	:	562-200-0334
Fax Number	:	562-377-7511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2022
Last Update Date	:	12/10/2025

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Directions to “ SPENCER STERLING DPM” Practice Location

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