EDWIN OGHOORIAN DPM INC. NPI 1063447530

NPI Information

NPI: 1063447530
Provider Name: EDWIN OGHOORIAN, DPM, INC.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
210 S GRAND AVE
SUITE 307
GLENDORA, CA
ZIP 91741
Phone: (626) 914-4099
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EDWIN OGHOORIAN, DPM, INC. is a foot and ankle surgery podiatrist in Glendora, CA. EDWIN OGHOORIAN, DPM, INC. NPI is 1063447530. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

210 S GRAND AVE
SUITE 307
GLENDORA, CA
ZIP 91741-205
Phone: (626) 914-4099
Fax: (626) 914-4119

The provider's authorized official is Edwin Oghoorian .
The authorized official title is President and has the following contact phone number (626) 914-4099.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 5/15/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4526	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000E45260	MEDICAID	CALIFORNIA
2	5281120001	MEDICARE NSC
3	ZZZ06981Z	OTHER		MEDICARE ID
4	V00838	MEDICARE UPIN
5	W18069	MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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