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VALLEY FOOT SURGEONS A PODIATRY GROUP INC. NPI 1659407120


NPI Information

NPI: 1659407120
Provider Name: VALLEY FOOT SURGEONS, A PODIATRY GROUP, INC.

Former Legal Business Name: VALLEY FOOT SURGEONS, A PODIATRY GROUP

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
18411 CLARK ST
SUITE 107
TARZANA, CA
ZIP 91356
Phone: (818) 342-1600
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VALLEY FOOT SURGEONS, A PODIATRY GROUP, INC. is a foot and ankle surgery podiatrist in Tarzana, CA. VALLEY FOOT SURGEONS, A PODIATRY GROUP, INC. NPI is 1659407120. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Valley Foot Surgeons, A Podiatry Group.

The provider's business location address is:

18411 CLARK ST
SUITE 107
TARZANA, CA
ZIP 91356-506
Phone: (818) 342-1600
Fax: (818) 342-1609

The provider's authorized official is Rose Diane Gilman Kline .
The authorized official title is President, Secretary and has the following contact phone number (818) 342-1600.

The enumeration date for this NPI number is 2/26/2007 and was last updated on 12/13/2010.


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 SurgeryE2775CALIFORNIAYes

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
15334410001MEDICARE NSCCALIFORNIA
2W18040MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE GROUP

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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