| Jaho Podiatry And Foot Group Apc | |
|
7535 Laurel Canyon Blvd N Hollywood CA 91605-3149 | |
| (818) 570-5002 | |
| Not Available |
| Full Name | Jaho Podiatry And Foot Group Apc |
|---|---|
| Speciality | Family Medicine |
| Location | 7535 Laurel Canyon Blvd, N Hollywood, California |
| Authorized Official Name and Position | Jason Homan (OWNER/CEO) |
| Authorized Official Contact | 8185705002 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaho Podiatry And Foot Group Apc 7535 Laurel Canyon Blvd N Hollywood CA 91605-3149 Ph: (818) 570-5002 | Jaho Podiatry And Foot Group Apc 7535 Laurel Canyon Blvd N Hollywood CA 91605-3149 Ph: (818) 570-5002 |
| NPI Number | 1265238059 |
|---|---|
| Provider Enumeration Date | 02/21/2025 |
| Last Update Date | 02/21/2025 |
| Medicare PECOS PAC ID | 2769904556 |
|---|---|
| Medicare Enrollment ID | O20250321000750 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265238059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Jason Homan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285064824 PECOS PAC ID: 7810280419 Enrollment ID: I20160719002549 |
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