Provider Type Icon

WESTERN PODMED CLINIC INC NPI 1063659704


NPI Information

NPI: 1063659704
Provider Name: WESTERN PODMED CLINIC INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2625 W ALAMEDA AVE
STE 314
BURBANK, CA
ZIP 91505
Phone: (818) 841-5100
Get Directions

WESTERN PODMED CLINIC INC is a foot and ankle surgery podiatrist in Burbank, CA. WESTERN PODMED CLINIC INC NPI is 1063659704. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2625 W ALAMEDA AVE
STE 314
BURBANK, CA
ZIP 91505-822
Phone: (818) 841-5100
Fax: (818) 841-8402

The provider's authorized official is Martin Moradian .
The authorized official title is President and has the following contact phone number (818) 841-5100.

The enumeration date for this NPI number is 1/16/2009 and was last updated on 1/21/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE4513CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E4513BMEDICARE PINCALIFORNIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.