| Foundation Medical Institute, A Professional Corporation | |
|
5525 Etiwanda Ave Ste 228 Tarzana CA 91356-6157 | |
| (310) 571-5015 | |
| Not Available |
| Full Name | Foundation Medical Institute, A Professional Corporation |
|---|---|
| Speciality | General Practice |
| Location | 5525 Etiwanda Ave Ste 228, Tarzana, California |
| Authorized Official Name and Position | Ritu Jain Viswanath (MANAGING MEMBER/CHIEF MEDICAL OFFI) |
| Authorized Official Contact | 3105715015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundation Medical Institute, A Professional Corporation 10573 W Pico Blvd # 822 Los Angeles CA 90064-2333 Ph: (310) 571-5015 | Foundation Medical Institute, A Professional Corporation 5525 Etiwanda Ave Ste 228 Tarzana CA 91356-6157 Ph: (310) 571-5015 |
| NPI Number | 1164372595 |
|---|---|
| Provider Enumeration Date | 02/03/2026 |
| Last Update Date | 05/11/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164372595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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