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Organization
INTERNATIONAL CENTER FOR MINIMALLY INVASIVE FOOT SURGERY
Active
Organization
INTERNATIONAL CENTER FOR MINIMALLY INVASIVE FOOT SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALIREZA KHOSROABADI DPM (CEO)
(818) 408-2800
Entity
Organization
Contact information
Practice address
23164 VENTURA BLVD, WOODLAND HILLS, CA 91364-1101
(818) 914-5686
(818) 408-2452
Mailing address
23164 VENTURA BLVD, WOODLAND HILLS, CA 91364-1101
(818) 914-5686
(818) 914-4573
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4728
CA
Other
Enumeration date
02/26/2016
Last updated
02/26/2025
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