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General NPI Number Information
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NPI Number | 1114225950
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Entity Type | Organization
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Legal Business Name | CALIFORNIA PODIATRY ASSOCIATES INC
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Dates
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Enumeration Date | 03/02/2011
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1503 S COAST DR STE 317
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City | COSTA MESA
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State | CA
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Zip | 92626-1528
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Country | US
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Telephone | 866-333-8710
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Fax | 714-434-2665
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Provider Business Mailing Address
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Address Line | 1503 S COAST DR STE 317
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City | COSTA MESA
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State | CA
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Zip | 92626-1528
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Country | US
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Telephone | 714-760-4944
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Fax | 714-434-2665
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Authorized Official
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Title or Position | CEO
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Name | DANA LIN
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Credential | DPM
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Telephone | 714-760-4944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E4240
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License Number State | CA
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