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NPI Code Detail

MEDICARE: MARSDEN SHOE CO

MEDICARE: MARSDEN SHOE CO
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
1332B00000XDurable Medical Equipment & Medical SuppliesCA

General Provider Information

NPI Number : 1154320760
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARSDEN SHOE CO
Provider Business Mailing Address
First Line : 6707 GREENLEAF AVE
Second Line :
City : WHITTIER
State : CA
Zip : 90601-4110
Country : US
Telephone Number : 562-698-7281
Fax Number : 562-693-0462
Provider Business Practice Location Address
First Line : 6707 GREENLEAF AVE
Second Line :
City : WHITTIER
State : CA
Zip : 90601-4110
Country : US
Telephone Number : 562-698-7281
Fax Number : 562-693-0462
Authorized Official
Title or Position : CEO
Name : DAN HWANG
Credential : CERTIFIED PEDORTHIST
Telephone Number : 562-698-7281
Provider Enumeration Date : 07/15/2005
Last Update Date : 07/21/2022

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Directions to “MARSDEN SHOE CO ” Practice Location

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