Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coronado Foot Specialists Podiatry Clinic Inc

Organization Foot Surgery Podiatrist · NPI 1639399371

Coronado Foot Specialists Podiatry Clinic Inc is a Foot Surgery Podiatrist in Coronado, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1121 10th St
Coronado, CA 92118-3401
Phone: (619) 435-0151
Fax: (619) 435-9316
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence E2930 (CA)

Record details

NPI number1639399371
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Manchel — Podiatrist · (619) 435-0151
NPI enumeratedApril 26, 2007
Last updated in NPPESMay 12, 2014
Mailing address1121 10th St, Coronado, CA 92118-3401