OrganizationActive
Coronado Foot Specialists Podiatry Clinic Inc
NPI 1639399371 · Foot Surgery Podiatrist · Coronado, CA
Provider details
- NPI number
- 1639399371
- Entity type
- Organization
- Primary specialty
- Foot Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Bruce Manchel, Podiatrist(619) 435-0151
- License
- E2930 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1121 10th St
Coronado, CA 92118-3401
Phone: (619) 435-0151
Fax: (619) 435-9316
Approximate (ZIP-level) locationGet directions
Mailing address
1121 10th St
Coronado, CA 92118-3401
Registry dates
- Enumerated
- 2007-04-26
- Last updated
- 2014-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.