OMEGA PODIATRY NPI 1801199799

NPI Information

NPI: 1801199799
Provider Name: OMEGA PODIATRY
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
2137 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
ZIP 90033
Phone: (323) 262-7450
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OMEGA PODIATRY is a foot and ankle surgery podiatrist in Los Angeles, CA. OMEGA PODIATRY NPI is 1801199799. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2137 E CESAR E CHAVEZ AVE
LOS ANGELES, CA
ZIP 90033-843
Phone: (323) 262-7450
Fax: (323) 262-2337

The provider's authorized official is Makabis Yousefpour .
The authorized official title is Owner and has the following contact phone number (323) 262-7450.

The enumeration date for this NPI number is 12/15/2010 and was last updated on 12/15/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	E4609	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E4609	MEDICARE PIN	CALIFORNIA

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: 11/14/2023

NPI Synchronization or Removal

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