COAST TO COAST PODIATRY NPI 1710258017

NPI Information

COAST TO COAST PODIATRY is a podiatrist in Tarzana, 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. COAST TO COAST PODIATRY NPI is 1710258017. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18740 VENTURA BLVD STE 102
TARZANA, CA
ZIP 91356-353
Phone: (818) 708-7668
Fax: (818) 708-9668

The provider's authorized official is Christopher Ayodele Otiko .
The authorized official title is Ceo and has the following contact phone number (818) 708-7668.

The CLIA number assigned to this NPI record is 05D2254238 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 1/18/2012 and was last updated on 7/22/2019.

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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