| Premium Podiatry, Inc. | |
|
5400 Balboa Blvd Ste 325, Encino, CA 91316-5226 | |
| (818) 782-0559 | |
| (818) 782-8308 |
| Full Name | Premium Podiatry, Inc. |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 5400 Balboa Blvd Ste 325, Encino, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467550897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | E1306 (California) | Primary |
| Provider Name | Adam K Brown |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629475165 PECOS PAC ID: 4183904535 Enrollment ID: I20161201000995 |
| Provider Name | Karina Gavrelovna Tavakalyan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972091734 PECOS PAC ID: 9032519806 Enrollment ID: I20210616000421 |
| Provider Name | Ivan Jon Quilop Suarez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1912580531 PECOS PAC ID: 3779024179 Enrollment ID: I20240925003883 |
| Mailing Address | Practice Location Address |
|---|---|
| Premium Podiatry, Inc. 5400 Balboa Blvd Ste 325, Encino, CA 91316-5226 Ph: (818) 782-0559 | Premium Podiatry, Inc. 5400 Balboa Blvd Ste 325, Encino, CA 91316-5226 Ph: (818) 782-0559 |
Dawn R. Buratti, D.p.m., Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 5400 Balboa Blvd Ste 325, Encino, CA 91316 Phone: 818-701-6300 Fax: 866-513-4995 | |
Gilman Podiatry, A Prof. Corp Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 17777 Ventura Blvd, Suite 230, Encino, CA 91316 Phone: 818-905-1000 Fax: 818-342-1609 | |
B. David Massaband Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 16661 Ventura Blvd, Suite 705, Encino, CA 91436 Phone: 310-657-2828 Fax: 310-657-9733 | |
Syamak Yamini Dpm, Professional Corporation Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 16550 Ventura Blvd Ste 406, Encino, CA 91436 Phone: 818-336-1356 Fax: 310-400-5666 | |
Leonora Fihman, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 5400 Balboa Blvd, Encino, CA 91316 Phone: 818-907-6100 | |
Maurice R Masliah Dpm Podiatrist Medicare: Medicare Enrolled Practice Location: 5400 Balboa Blvd Ste 225, Encino, CA 91316 Phone: 818-981-3344 Fax: 818-981-4777 | |
Dr. Majid Seyedin, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 17777 Ventura Blvd, 252, Encino, CA 91316 Phone: 323-912-9220 Fax: 818-221-0534 |