Healthcare Provider Details

I. General information

NPI: 1306022694
Provider Name (Legal Business Name): HB PODIATRY GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2008
Last Update Date: 08/11/2021
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17742 BEACH BLVD STE 340
HUNTINGTON BEACH CA
92647-6872
US

IV. Provider business mailing address

17742 BEACH BLVD STE 340
HUNTINGTON BEACH CA
92647-6872
US

V. Phone/Fax

Practice location:
  • Phone: 714-841-3213
  • Fax: 714-841-0434
Mailing address:
  • Phone: 714-841-3213
  • Fax: 714-841-0434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberE2539
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberE2539
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE2539
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberE2539
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE2539
License Number StateCA

VIII. Authorized Official

Name: DR. STEVEN L SWARTZ
Title or Position: PODIATRIST/OWNER
Credential: DPM
Phone: 714-809-0929