Foot And Ankle Wellness Clinic
LBN: Foot And Ankle Wellness Clinic
Foot And Ankle Wellness Clinic is an health care organization with primary practice located at 6310 San Vicente Blvd Ste 220 , Los Angeles CA 90048-5458. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty.
Foot And Ankle Wellness Clinic can be contacted via phone (323) 937-6903, or through Mancherian, Suzanne Lee via phone (323) 937-6903.
Contact Information
Primary practice address
6310 San Vicente Blvd Ste 220
Los Angeles CA 90048-5458
Phone: (323) 937-6903
Fax: (323) 210-7171
Website:
Authorized official contact:
Name: Mancherian, Suzanne Lee Doctor of Podiatric Medicine (DPM)
Phone: (323) 937-6903
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | E4429 | California |
Profile Details
| NPI number | 1235313123 |
|---|---|
| LBN Legal business name | Foot And Ankle Wellness Clinic |
| DBA Doing business as | |
| Authorized official | Mancherian, Suzanne Lee Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 27th, 2007 |
| Last updated | Sep 2nd, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235313123 | NPPES |
| California | MEDICAID | 000E28430 |
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