Gilman Podiatry, A Prof. Corp

NPI 1083926729 - Podiatrist - 213ES0103X

NPI Details
NPI 1083926729
Enumeration Date 07/10/2010
Last Updated 08/09/2012
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name ROSE DIANE ROSE
Position PRES. SEC.
Phone (818) 905-1000
Fax (818) 342-1609
Practice Location
17777 VENTURA BLVD
SUITE 230
ENCINO CA, 91316-3736, US
Phone (818) 905-1000
Fax (818) 342-1609
Business Location
PO BOX 972
WOODLAND HILLS CA, 91365-0972, US
Phone (818) 905-1000
Fax (818) 342-1609
Toxanomy
Taxonomy Code 213ES0103X
License State California
License Number E2775
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According to our database, Gilman Podiatry, A Prof. Corp NPI is 1083926729, taxonomy code is 213ES0103X and license number is E2775, license state is located at California. Gilman Podiatry, A Prof. Corp physically located at 17777 Ventura Blvd, Encino CA, 91316-3736. NPI Number 1033115704 has the healthcare provider type.

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1083926729 NPI number is provided on an as is basis without warranty of any kind. 1083926729 is maintained by the National Plan & Provider Enumeration System. The contents of Gilman Podiatry, A Prof. Corp are for informational purposes only.