# GILMAN PODIATRY, A PROF. CORP

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

## Provider details

- **NPI number:** 1083926729
- **Authorized official:** DR. ROSE DIANE GILMAN KLINE D.P.M. (PRES. SEC.)
- **Authorized official phone:** (818) 905-1000

## Contact information

- **Practice address:** 17777 VENTURA BLVD, SUITE 230, ENCINO, CA 91316-3736
- **Practice address phone:** (818) 905-1000
- **Practice address fax:** (818) 342-1609
- **Mailing address:** PO BOX 972, WOODLAND HILLS, CA 91365-0972
- **Mailing address phone:** (818) 905-1000
- **Mailing address fax:** (818) 342-1609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E2775 | CA | Yes |

## Other

- **Enumeration date:** 07/10/2010
- **Last updated:** 08/09/2012