FOOT AND ANKLE WELLNESS CLINIC; NPI #1154588556

Contact Information

FOOT AND ANKLE WELLNESS CLINIC

1030 S GLENDALE AVE
SUITE 504
GLENDALE, CA 91205

Phone: 818-240-7673
Fax: 323-937-2035
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot	213ES0131X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for FOOT AND ANKLE WELLNESS CLINIC

NPI # 1154588556

LBN Legal business name FOOT AND ANKLE WELLNESS CLINIC

Authorized official SUZANNE MANCHERIAN - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/22/2008

Last updated 06/06/2018 - About 8 years ago

Identifiers

License #

E4429

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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