OrganizationActive
Fallbrook Podiatry, Inc
NPI 1861825523 · Primary Podiatric Medicine Podiatrist · Fallbrook, CA
Provider details
- NPI number
- 1861825523
- Entity type
- Organization
- Primary specialty
- Primary Podiatric Medicine PodiatristPodiatric Medicine & Surgery Service Providers
- Organization subpart
- No
- Authorized official
- Grigoriy Patish, Owner/Provider(760) 728-4800
- License
- E4987 (CA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
407 Potter St Ste a
Fallbrook, CA 92028-3086
Phone: (760) 728-4800
Fax: (760) 728-0061
Approximate (ZIP-level) locationGet directions
Mailing address
407 Potter St Ste a
Fallbrook, CA 92028-3086
Registry dates
- Enumerated
- 2013-08-16
- Last updated
- 2021-03-08
- Certified
- 2021-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.