institution
Foot And Ankle Wellness Clinic
Foot Surgery Podiatrist in Los Angeles, California
NPI 1235313123

Foot And Ankle Wellness Clinic is a Foot Surgery Podiatrist based in Los Angeles, CA and is specialized in Foot Surgery. Foot And Ankle Wellness Clinic practices in Los Angeles, CA. The NPI Number for Foot And Ankle Wellness Clinic is 1235313123 and holds a License No. E4429 (California).

The current practice location address for Foot And Ankle Wellness Clinic is 6310 San Vicente Blvd Ste 220, Los Angeles, CA and can be reached out via phone at 323-937-6903 and via fax at 323-210-7171.

Location: 6310 San Vicente Blvd Ste 220, Los Angeles, CA, 90048-5458
institution
Provider Profile Details
NPI Number
1235313123
Provider Name
Foot And Ankle Wellness Clinic
Credential
Provider Entity Type
Organization
Address
6310 San Vicente Blvd Ste 220, Los Angeles, CA, 90048-5458
Phone Number
323-937-6903
Fax Number
323-210-7171
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000E28430 05 CA
institution
Provider Business Practice Location Address Details
Address
6310 San Vicente Blvd Ste 220
City
State
Zip
90048-5458
Phone Number
323-937-6903
Fax Number
323-210-7171
person
Provider Business Mailing Address Details
Address
6310 San Vicente Blvd Ste 220
City
State
Zip
90048-5458
Phone Number
323-937-6903
Fax Number
323-210-7171
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
E4429 (California)
Definition
Definition to come...
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