Foot Specialists Of Northridge - Podiatry Group

NPI 1801868013 - Podiatrist - 213ES0103X

NPI Details
NPI 1801868013
Enumeration Date 02/02/2006
Last Updated 03/11/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEFAN STEFAN
Position OWNER
Phone (818) 706-1924
Fax (818) 706-1369
Practice Location
32144 AGOURA RD.
SUITE 105
WESTLAKE VILLAGE CA, 91361, US
Phone (818) 706-1924
Fax (818) 706-1369
Business Location
10515 BALBOA BLVD.
SUITE 140
GRANADA HILLS CA, 91344, US
Phone (818) 363-9900
Fax (818) 363-9915
Toxanomy
Taxonomy Code 213ES0103X
License State California
License Number E-2279
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According to our database, Foot Specialists Of Northridge - Podiatry Group NPI is 1801868013, taxonomy code is 213ES0103X and license number is E-2279, license state is located at California. Foot Specialists Of Northridge - Podiatry Group physically located at 32144 Agoura Rd., Westlake Village CA, 91361. NPI Number 1033115704 has the healthcare provider type.

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1801868013 NPI number is provided on an as is basis without warranty of any kind. 1801868013 is maintained by the National Plan & Provider Enumeration System. The contents of Foot Specialists Of Northridge - Podiatry Group are for informational purposes only.