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UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER NPI 1083721054


NPI Information

NPI: 1083721054
Provider Name: UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
1101 SEPULVEDA BLVD
SUITE 104
MANHATTAN BEACH, CA
ZIP 90266
Phone: (310) 828-0011
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UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER is a podiatrist in Manhattan Beach, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER NPI is 1083721054. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1101 SEPULVEDA BLVD
SUITE 104
MANHATTAN BEACH, CA
ZIP 90266
Phone: (310) 828-0011
Fax: (310) 828-2001

The provider's authorized official is Babak Baravarian .
The authorized official title is PARTNER PODIATRYPodiatry and has the following contact phone number (310) 828-0011.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 2/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE3141CALIFORNIANo
2213ES0103XPodiatristFoot & Ankle SurgeryE4693CALIFORNIANo
3213E00000XPodiatristE4186CALIFORNIAYes

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
1T11569MEDICARE UPINCALIFORNIA
2WE4186AMEDICARE ID-TYPE UNSPECIFIED
31114147444OTHERCALIFORNIANPI
4U74434MEDICARE UPIN

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

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