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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY M FABRIKANT, D.P.M.

Active Sole Proprietor

JERRY M FABRIKANT, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in LA MESA, California. NPI 1689622177 is currently active in the NPPES registry. Verify at CMS.

Foot & Ankle Surgery Podiatrist · LA MESA, CA

Registration Details

NPI Number
1689622177
Provider Type
Individual
Gender
Male
NPI Issued
May 5, 2006 (20.322666675569 yrs)
Last Updated
Mar 17, 2009
Licenses
000E23120 (CA)
000E23120 (CA)
Sole Proprietor
Yes

Practice Information

Address
5565 GROSSMONT CENTER DR
BLDG 3 # 353
LA MESA, CA, 919423007
Browse CA providers · Browse ZIP 91942
Phone
6194653443
Fax
6194667311
Primary Specialty
Foot & Ankle Surgery Podiatrist
213ES0103X

Other Foot & Ankle Surgery Podiatrist Providers in LA MESA, CA

Name Credential NPI
DR. DAN B TARANGO DPM 1336131911
SAMUEL CAINE DPM 1396230298
DR. PETER JOSEPH GODOY III DPM 1922747930
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.