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Contact Information

FOOT AND ANKLE WELLNESS CLINIC
1030 S GLENDALE AVE
SUITE 504
GLENDALE, CA91205
 Phone: 818-240-7673
 Fax: 323-937-2035
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot

213ES0131X 48 Podiatry
Indicates primary specialty

NPI Profile & details for FOOT AND ANKLE WELLNESS CLINIC · (Female)

NPI # 1154588556
Status Active
Credentials
Entity Individual
Enumeration date 05/22/2008
Last updated 06/06/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # E4429
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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