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NPI Code Detail

MEDICARE: KATE STEKLACHICH DPM CORP

MEDICARE: KATE STEKLACHICH DPM CORP
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
1213ES0103XFoot & Ankle Surgery PodiatristE5071CA

General Provider Information

NPI Number : 1972915080
Entity Type Code : Organization
Provider Name (Legal Business Name) : KATE STEKLACHICH DPM CORP
Provider Business Mailing Address
First Line : 201 SANDPOINTE AVE
Second Line : UNIT 135
City : SANTA ANA
State : CA
Zip : 92707-5778
Country : US
Telephone Number : 714-546-0510
Fax Number :
Provider Business Practice Location Address
First Line : 201 SANDPOINTE AVE
Second Line : UNIT 135
City : SANTA ANA
State : CA
Zip : 92707-5778
Country : US
Telephone Number : 714-546-0510
Fax Number :
Authorized Official
Title or Position : FOOT AND ANKLE SPECIALIST
Name : DR. KATE JANEAN STEKLACHICH
Credential : DPM
Telephone Number : 714-546-0510
Provider Enumeration Date : 05/22/2014
Last Update Date : 05/22/2014

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