LORIS YADEGARIAN DPM NPI 1316126618

NPI Information

LORIS YADEGARIAN DPM is a foot and ankle surgery podiatrist in Van Nuys, CA. LORIS YADEGARIAN DPM NPI is 1316126618. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14600 SHERMAN WAY
SUITE 210
VAN NUYS, CA
ZIP 91405-269
Phone: (818) 988-6880
Fax: (818) 988-3289

The provider's authorized official is Loris Yadegarian .
The authorized official title is Sole Proprietor and has the following contact phone number (818) 988-6880.

The enumeration date for this NPI number is 11/2/2007 and was last updated on 5/9/2008.

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:

Other Identifiers

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

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