Provider Demographics
NPI:1033682331
Name:ERIC NAASZ DPM INC
Entity Type:Organization
Organization Name:ERIC NAASZ DPM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:NAASZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:714-525-0225
Mailing Address - Street 1:704 N HARBOR BLVD
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-1520
Mailing Address - Country:US
Mailing Address - Phone:714-525-0225
Mailing Address - Fax:714-525-0241
Practice Address - Street 1:704 N HARBOR BLVD
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-1520
Practice Address - Country:US
Practice Address - Phone:714-525-0225
Practice Address - Fax:714-525-0241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty