Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Coronado Foot Specialists Podiatry Clinic Inc

Organization Foot Surgery Podiatrist · NPI 1639399371

Coronado Foot Specialists Podiatry Clinic Inc provides Foot Surgery Podiatrist services 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 Not confirmed with CMS for 12 years — call before visiting
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