=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356483317
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ARTI C. AMIN D.P.M.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2007
-----------------------------------------------------
Last Update Date | 02/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1820 FULLERTON AVE STE 125
-----------------------------------------------------
City | CORONA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92881-3160
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-444-5327
-----------------------------------------------------
Fax | 714-974-7683
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1820 FULLERTON AVE STE 125
-----------------------------------------------------
City | CORONA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92881-3160
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 951-444-5327
-----------------------------------------------------
Fax | 714-974-7683
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 213ES0103X
-----------------------------------------------------
Taxonomy Name | Foot & Ankle Surgery Podiatrist
-----------------------------------------------------
License Number | E4145
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------