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

Hollywood Foot and Ankle Center Inc

Organization Podiatrist · NPI 1407669542

Hollywood Foot and Ankle Center Inc is a Podiatrist in N Hollywood, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11631 Victory Blvd Ste 104
N Hollywood, CA 91606-3572
Phone: (909) 946-6643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1407669542
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farid Didari — Cfo · (909) 464-8600
NPI enumeratedJanuary 31, 2025
Last updated in NPPESJanuary 31, 2025
Certification dateJanuary 31, 2025
Mailing address11631 Victory Blvd Ste 104, N Hollywood, CA 91606-3572

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