1285080978 PACIFIC COAST PODIATRY PC

Preferred Provider Organization

Active

Basic Information

Organization Name
PACIFIC COAST PODIATRY PC
Enumeration Date
May 11, 2016
Last Update
June 20, 2022
Authorized Official
DR. CLAYTON GARY JOHNSEN D.P.M
OWNER
Phone: (909) 886-3668

Practice Location

Address
1762 N WATERMAN AVE
SAN BERNARDINO, CA 924045130
Phone
(909) 886-3668
Fax
(909) 886-5542

Mailing Address

Address
1762 N WATERMAN AVE
SAN BERNARDINO, CA 924045130
Phone
(909) 886-3668
Fax
(909) 886-5542

Specialties & Taxonomies

Specialty Code Classification License State Primary
Preferred Provider Organization
 305R00000X Preferred Provider Organization E4834 CA Primary

Other Identifiers

Identifier Type State Issuer
1285080978 01 N/A NPI

Additional Practice Locations

657 Camino De Los Mares Ste 133
San Clemente, CA 926732810

Phone: (909) 886-3668

Fax: (909) 886-5542

Frequently Asked Questions

What is PACIFIC COAST PODIATRY PC's NPI number?
PACIFIC COAST PODIATRY PC's NPI number is 1285080978.
Which doctor has NPI number 1285080978?
The doctor with NPI number 1285080978 is PACIFIC COAST PODIATRY PC.
What is PACIFIC COAST PODIATRY PC's practice address?
PACIFIC COAST PODIATRY PC's practice address is 1762 N WATERMAN AVE, SAN BERNARDINO, CA, 924045130.
Which doctor practices at 1762 N WATERMAN AVE, SAN BERNARDINO, CA, 924045130?
PACIFIC COAST PODIATRY PC practices at 1762 N WATERMAN AVE, SAN BERNARDINO, CA, 924045130.
What is PACIFIC COAST PODIATRY PC's phone number?
PACIFIC COAST PODIATRY PC's phone number is (909) 886-3668.
Who is (909) 886-3668?
(909) 886-3668 is the phone number for PACIFIC COAST PODIATRY PC.
What is PACIFIC COAST PODIATRY PC's specialty?
PACIFIC COAST PODIATRY PC's specialty is Preferred Provider Organization.
What type of doctor is PACIFIC COAST PODIATRY PC?
PACIFIC COAST PODIATRY PC is a Preferred Provider Organization.
Is PACIFIC COAST PODIATRY PC a Preferred Provider Organization?
Yes, PACIFIC COAST PODIATRY PC is a Preferred Provider Organization.
Is PACIFIC COAST PODIATRY PC still practicing?
Yes, PACIFIC COAST PODIATRY PC is currently practicing.
Is PACIFIC COAST PODIATRY PC accepting new patients?
PACIFIC COAST PODIATRY PC may be accepting new patients. Please call their office at (909) 886-3668 to inquire about availability.
Is NPI 1285080978 still active?
Yes, NPI 1285080978 is currently active.
Where does PACIFIC COAST PODIATRY PC practice?
PACIFIC COAST PODIATRY PC practices in SAN BERNARDINO, CA.