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

High Desert Foot & Ankle Clinic A

Organization Foot & Ankle Surgery Podiatrist · NPI 1104204775

High Desert Foot & Ankle Clinic A is a Foot & Ankle Surgery Podiatrist in Victorville, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

15366 11th St Ste A
Victorville, CA 92395-3726
Phone: (760) 951-1234
Fax: (760) 951-1611
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence E3966 (CA)

Record details

NPI number1104204775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wonsik Bollmann — Owner/Podiatrist · (760) 951-1234
NPI enumeratedMay 14, 2015
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address15366 11th St, Suite A, Victorville, CA 92395-3726

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