Providence Foot and Ankle Center
Providence Foot and Ankle Center is a Podiatric Clinic/Center in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
Practice location Address checks out
3130 W Olympic Blvd Ste 170Los Angeles, CA 90006-2484
Phone: (323) 732-7551
Fax: (323) 732-7829
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatric Clinic/Center (primary) | Taxonomy 261QP1100X · Licence E4031 (CA) |
|---|
Record details
| NPI number | 1851522254 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Peter Park — Podiatrist/Ceo · (323) 732-7551 |
| NPI enumerated | August 3, 2009 |
| Last updated in NPPES | March 28, 2020 |
| Certification date | March 28, 2020 |
| Mailing address | 1417 Stein Strauss St, Fullerton, CA 92833-2159 |
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