| Evo Advanced Foot Surgery | |
|
12265 Ventura Blvd, Suite 107, Studio City, CA 91604-2528 | |
| (310) 691-5411 | |
| Not Available |
| Full Name | Evo Advanced Foot Surgery |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 12265 Ventura Blvd, Studio City, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518240373 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Ali R Sadrieh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013979822 PECOS PAC ID: 5991964025 Enrollment ID: I20120309000304 |
| Mailing Address | Practice Location Address |
|---|---|
| Evo Advanced Foot Surgery Po Box 1360, Studio City, CA 91614-0360 Ph: (310) 691-5411 | Evo Advanced Foot Surgery 12265 Ventura Blvd, Suite 107, Studio City, CA 91604-2528 Ph: (310) 691-5411 |
Dr. Marc D Selner, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4335 Laurel Canyon Blvd, Studio City, CA 91604 Phone: 818-763-9330 Fax: 818-763-5061 | |
Dr. Ali Reza Sadrieh, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 12265 Ventura Blvd, Suite 107, Studio City, CA 91604 Phone: 310-691-5411 Fax: 310-388-1658 | |
Marc D Seiner Dpm Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4335 Laurel Cyn Bl, Studio City, CA 91604 Phone: 818-763-9330 Fax: 818-763-5061 | |
Dr. Romeo Joseph Pettinelli, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 12660 Riverside Dr Ste 305, Studio City, CA 91607 Phone: 818-623-4455 Fax: 818-985-0055 | |
Dr. Karim Manji, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 4150 Arch Dr, #425, Studio City, CA 91604 Phone: 216-440-1774 | |
Mrs. Alexandria Lila Stern, D.P.M. Podiatrist Medicare: May Accept Medicare Assignments Practice Location: 12265 Ventura Blvd Ste 107, Studio City, CA 91604 Phone: 310-691-5411 |