Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Foot and Ankle Wellness Clinic

Organization Foot Surgery Podiatrist · NPI 1154588556

Foot and Ankle Wellness Clinic is a Foot Surgery Podiatrist in Glendale, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2008

Practice location Address checks out

1030 S Glendale Ave Ste 504
Glendale, CA 91205
Phone: (818) 240-7673
Fax: (323) 937-2035
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6200 Wilshire Blvd Ste 1712, Los Angeles, CA 90048-5818 — (323) 937-6903

Specialties & licences

Foot Surgery Podiatrist (primary) Taxonomy 213ES0131X · Licence E4429 (CA)

Record details

NPI number1154588556
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzanne Mancherian — President · (323) 937-6903
NPI enumeratedMay 22, 2008
Last updated in NPPESJune 6, 2018
Mailing address6200 Wilshire Blvd Ste 1712, Los Angeles, CA 90048-5818

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