Omega Podiatry
Podiatrist, Foot & Ankle Surgery in Los Angeles, CA. Organization (NPI-2).
NPI number1801199799
StatusActive
Last updated in NPPESDec 15, 2010
Details
- NPI
- 1801199799
- Entity type
- Organization (NPI-2)
- Legal business name
- Omega Podiatry
- Organization subpart
- No
- Enumeration date
- Dec 15, 2010
- Last updated
- Dec 15, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | E4609 | CA | Yes |
Practice location
2137 E Cesar E Chavez AveLos Angeles, CA 90033-1843
Phone 323-262-7450 · Fax 323-262-2337
Mailing address
2137 E Cesar E Chavez AveLos Angeles, CA 90033-1843
Phone 323-262-7450 · Fax 323-262-2337
Authorized official
Makabis Yousefpour
Owner
3232627450
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