| Foot Specialists Of Northridge - Podiatry Group | |
|
10515 Balboa Blvd, Ste 140, Granada Hills, CA 91344-6343 | |
| (818) 363-9900 | |
| (818) 363-9915 |
| Full Name | Foot Specialists Of Northridge - Podiatry Group |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 10515 Balboa Blvd, Granada Hills, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942418348 | NPI | - | NPPES |
| GR0000440 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E2279 (California) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Foot Specialists Of Northridge - Podiatry Group 10515 Balboa Blvd, Ste 140, Granada Hills, CA 91344-6343 Ph: (818) 363-9900 | Foot Specialists Of Northridge - Podiatry Group 10515 Balboa Blvd, Ste 140, Granada Hills, CA 91344-6343 Ph: (818) 363-9900 |
University Foot And Ankle Institute A Podiatric Surgical Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10515 Balboa Blvd Ste 140, Granada Hills, CA 91344 Phone: 310-828-0011 |