Organization · Type 2 NPI
P.b. Nikravesh Dpm, Apc
Primary Podiatric Medicine Podiatrist · Los Angeles, CA
NPI number
1083969018
Active
Practice location
6404 Wilshire Blvd Ste 600
Los Angeles, CA 90048-5501
Fax (323) 782-8528
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | E4103 (CA) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4103 (CA) |
Primary Podiatric Medicine Podiatrist: Definition to come...
2 other providers at this address
Other primary podiatric medicine podiatrist providers in Los Angeles
About NPI 1083969018
P.b. Nikravesh Dpm, Apc's National Provider Identifier is 1083969018, issued on Jul 16, 2012. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 16, 2012.