# EDWIN OGHOORIAN, DPM, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063447530
- **Authorized official:** DR. EDWIN OGHOORIAN DPM (PRESIDENT)
- **Authorized official phone:** (626) 914-4099

## Contact information

- **Practice address:** 210 S GRAND AVE, SUITE 307, GLENDORA, CA 91741-4205
- **Practice address phone:** (626) 914-4099
- **Practice address fax:** (626) 914-4119
- **Mailing address:** 210 S GRAND AVE, SUITE 307, GLENDORA, CA 91741-4205
- **Mailing address phone:** (626) 914-4099
- **Mailing address fax:** (626) 914-4119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4526 | CA | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 05/15/2008