OrganizationActive
Geriatric Podiatry Medical Group Inc.
NPI 1598832172 · Public Medicine Podiatrist · San Dimas, CA
Provider details
- NPI number
- 1598832172
- Entity type
- Organization
- Primary specialty
- Public Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- William Tabb, Owner
Practice location
425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543
Phone: (909) 599-0981
Fax: (909) 592-0738
Mailing address
425 W Bonita Ave Ste 110
San Dimas, CA 91773-2543
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2014-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.