NEW AGE FOOT AND ANKLE PODIATRY PC NPI 1710306501

NPI Information

NPI: 1710306501
Provider Name: NEW AGE FOOT AND ANKLE PODIATRY PC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
16935 VANOWEN ST
SUITE E
VAN NUYS, CA
ZIP 91406
Phone: (917) 687-7528
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NEW AGE FOOT AND ANKLE PODIATRY PC is a foot and ankle surgery podiatrist in Van Nuys, CA. NEW AGE FOOT AND ANKLE PODIATRY PC NPI is 1710306501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16935 VANOWEN ST
SUITE E
VAN NUYS, CA
ZIP 91406-595
Phone: (917) 687-7528

The provider's authorized official is Aleksander Valentinovich Lavrenov .
The authorized official title is President and has the following contact phone number (917) 687-7528.

The enumeration date for this NPI number is 4/9/2014 and was last updated on 6/4/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E 5019	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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