Beverly Foot Care Center
Clinic/Center in Los Angeles, CA. Organization (NPI-2).
NPI number1164092367
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1164092367
- Entity type
- Organization (NPI-2)
- Legal business name
- Beverly Foot Care Center
- Organization subpart
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
2105 Beverly Blvd Ste 233cLos Angeles, CA 90057-2216
Phone 310-877-9114
Mailing address
2105 Beverly Blvd Ste 233cLos Angeles, CA 90057-2216
Phone 310-877-9114
Authorized official
Samira Mehrizi
Medical Director
3108779114
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