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 1235313123

Foot and Ankle Wellness Clinic is a Foot Surgery Podiatrist in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

6310 San Vicente Blvd Ste 220
Los Angeles, CA 90048-5458
Phone: (323) 937-6903
Fax: (323) 210-7171
Show map & directions

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

Specialties & licences

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

Record details

NPI number1235313123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suzanne Mancherian — President · (323) 937-6903
NPI enumeratedDecember 27, 2007
Last updated in NPPESSeptember 2, 2021
Certification dateSeptember 2, 2021
Mailing address6310 San Vicente Blvd Ste 220, Los Angeles, CA 90048-5458

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