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Contact Information

UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
1101 SEPULVEDA BLVD
SUITE 104
MANHATTAN BEACH, CA90266
 Phone: 310-828-0011
 Fax: 310-828-2001
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER · (Female)

NPI # 1083721054
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2006
Last updated 02/11/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # E3141
  • CA License # E4186
  • CA License # E4693
  • CA Other 1114147444 NPI
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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