Foothill Surgical Specialists Medical Group
Foothill Surgical Specialists Medical Group is a Surgery Physician in Glendale, California. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
1560 E Chevy Chase Dr Ste 430Glendale, CA 91206-4197
Phone: (818) 243-1135
Fax: (818) 243-9332
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Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X |
|---|---|
| Vascular Surgery Physician | Taxonomy 2086S0129X |
Record details
| NPI number | 1760525752 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Samuel Carvajal — President/Md · (818) 243-1135 |
| NPI enumerated | February 15, 2007 |
| Last updated in NPPES | January 8, 2014 |
| Mailing address | 1560 E. Chevy Chase Dr., Suite 430, Glendale, CA 91206-4197 |
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