GLENDALE FOOT & ANKLE PODIATRY CENTER INC. NPI 1710173489

NPI Information

GLENDALE FOOT & ANKLE PODIATRY CENTER, INC. is a foot and ankle surgery podiatrist in Glendale, CA. GLENDALE FOOT & ANKLE PODIATRY CENTER, INC. NPI is 1710173489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

110 S ADAMS ST
GLENDALE, CA
ZIP 91205-312
Phone: (818) 242-4426
Fax: (818) 242-4409

The provider's authorized official is Hermoz B Ayvazian .
The authorized official title is Owner and has the following contact phone number (818) 242-4426.

The CLIA number assigned to this NPI record is 05D0856782 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/17/2007 and was last updated on 1/10/2023.

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

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