BABAK KOSARI D.P.M. INC. NPI 1720104227

NPI Information

BABAK KOSARI, D.P.M., INC. is a foot and ankle surgery podiatrist in Northridge, CA. BABAK KOSARI, D.P.M., INC. NPI is 1720104227. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17075 DEVONSHIRE ST
SUITE 304
NORTHRIDGE, CA
ZIP 91325-600
Phone: (818) 831-1000
Fax: (818) 831-5700

The provider's authorized official is Babak Kosari .
The authorized official title is Ceo and has the following contact phone number (818) 831-1000.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 1/9/2013.

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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