Whalio Doctors

NPI 1053317545

Nicholas Nelson Desantis, DPM

Practitioner Foot & Ankle Surgery Podiatrist San Diego, CA

Practice location

Address
2306 6th Ave, San Diego, CA 92101-1643
Phone
(619) 239-3286
Fax
(619) 239-0172

Registered specialties

Foot & Ankle Surgery Podiatrist Primary
Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X Licence E2474 (CA)

Registry record

NPI
1053317545
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jun 2005
Record last updated
7 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.