Healthcare Provider Details

I. General information

NPI: 1578477964
Provider Name (Legal Business Name): FAMILY PODIATRY GROUP OF CALIFORNIA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 MARTIN LUTHER KING JR BLVD STE 404
LYNWOOD CA
90262-3534
US

IV. Provider business mailing address

30251 GOLDEN LANTERN, STE 409
LAGUNA NIGUEL CA
92677-5993
US

V. Phone/Fax

Practice location:
  • Phone: 310-537-2121
  • Fax: 310-683-7016
Mailing address:
  • Phone: 310-537-2121
  • Fax: 310-683-7016

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: CARL HOEGER
Title or Position: PRESIDENT
Credential:
Phone: 310-537-2121