| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Wolf Podiatry Corp. | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1124085006 | [sources] | |||
| Registration number | 000E21613 · 149797419 | [sources] | |||
| Sector | Corporation Owner | [sources] | |||
| Address | 12630 Monte Vista Rd., Ste. #101, Poway, CA · 16008 Cross Fox Ct., Poway, CA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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