MIDWAY PODIATRY CLINIC INC NPI 1821113481

NPI Information

NPI: 1821113481
Provider Name: MIDWAY PODIATRY CLINIC INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
7217 CANBY AVE
RESEDA, CA
ZIP 91335
Phone: (818) 995-4040
Get Directions

MIDWAY PODIATRY CLINIC INC is a foot and ankle surgery podiatrist in Reseda, CA. MIDWAY PODIATRY CLINIC INC NPI is 1821113481. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7217 CANBY AVE
RESEDA, CA
ZIP 91335-003
Phone: (818) 995-4040
Fax: (818) 996-3219

The provider's authorized official is Paris Servatjoo .
The authorized official title is Doctor Owner and has the following contact phone number (818) 995-4040.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 12/18/2008.

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	E3494	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	WE11635	MEDICARE PIN	CALIFORNIA
2	T11704	MEDICARE UPIN	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: 4/28/2024

NPI Synchronization or Removal

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