| Beverly Foot Care Center | |
|
2105 Beverly Blvd Ste 233c Los Angeles CA 90057-2216 | |
| (310) 877-9114 | |
| Not Available |
| Full Name | Beverly Foot Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 2105 Beverly Blvd Ste 233c, Los Angeles, California |
| Authorized Official Name and Position | Samira Mehrizi (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3108779114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Foot Care Center 2105 Beverly Blvd Ste 233c Los Angeles CA 90057-2216 Ph: (310) 877-9114 | Beverly Foot Care Center 2105 Beverly Blvd Ste 233c Los Angeles CA 90057-2216 Ph: (310) 877-9114 |
| NPI Number | 1164092367 |
|---|---|
| Provider Enumeration Date | 06/29/2021 |
| Last Update Date | 06/29/2021 |
| Medicare PECOS PAC ID | 4587068366 |
|---|---|
| Medicare Enrollment ID | O20210802003479 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164092367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Samira Mehrizi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386084457 PECOS PAC ID: 1254560634 Enrollment ID: I20140205000629 |
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