institution
Providence Foot And Ankle Center
Podiatric Clinic/Center in Los Angeles, California
NPI 1851522254

Providence Foot And Ankle Center is a Podiatric Clinic/Center based in Fullerton, CA and is specialized in Podiatric. Providence Foot And Ankle Center practices in Los Angeles, CA. The NPI Number for Providence Foot And Ankle Center is 1851522254 and holds a License No. E4031 (California).

The current practice location address for Providence Foot And Ankle Center is 3130 W Olympic Blvd, Los Angeles, CA and can be reached out via phone at 323-732-7551 and via fax at 323-732-7829.

Location: 3130 W Olympic Blvd, Los Angeles, CA, 92833-2159
institution
Provider Profile Details
NPI Number
1851522254
Provider Name
Providence Foot And Ankle Center
Credential
Provider Entity Type
Organization
Address
3130 W Olympic Blvd, Los Angeles, CA, 92833-2159
Phone Number
323-732-7551
Fax Number
323-732-7829
Provider Enumeration Date
08/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CE810Z 01 CA PTAN
institution
Provider Business Practice Location Address Details
Address
3130 W Olympic Blvd
City
State
Zip
90006-2484
Phone Number
323-732-7551
Fax Number
323-732-7829
person
Provider Business Mailing Address Details
Address
3130 W Olympic Blvd
City
State
Zip
90006-2484
Phone Number
323-732-7551
Fax Number
323-732-7829
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
E4031 (California)
Definition
Definition to come...
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