Provider Demographics
NPI:1275739948
Name:PAUL T. SLOWIK, DPM.
Entity Type:Organization
Organization Name:PAUL T. SLOWIK, DPM.
Other - Org Name:PODIATRIC GROUP OF OCEANSIDE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:T
Authorized Official - Last Name:SLOWIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-631-3973
Mailing Address - Street 1:3230 WARING CT STE M
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056-4509
Mailing Address - Country:US
Mailing Address - Phone:760-631-3973
Mailing Address - Fax:
Practice Address - Street 1:3230 WARING CT STE M
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056-4509
Practice Address - Country:US
Practice Address - Phone:760-631-3973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3094213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E30940Medicaid
CAE3094Medicare PIN
CAT11564Medicare UPIN
CA000E30940Medicaid
CA5895390001Medicare NSC