Organization · Type 2 NPI

Encino Foot Care A Prof Corp

Foot & Ankle Surgery Podiatrist · Encino, CA

NPI number 1255772414 Active

Practice location

17777 Ventura Blvd, Suite 230
Encino, CA 91316-3736

Call (818) 905-1000 Map

Mailing address

PO Box 972
Woodland Hills, CA 91365-0972

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE2775 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1255772414

Encino Foot Care A Prof Corp's National Provider Identifier is 1255772414, issued on Jul 16, 2013. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Encino, CA. The record was last updated on Jul 16, 2013.