# FOUNDATION MEDICAL INSTITUTE, A PROFESSIONAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1164372595
- **Authorized official:** DR. RITU JAIN VISWANATH MD (MANAGING MEMBER/CHIEF MEDICAL OFFI)
- **Authorized official phone:** (310) 571-5015

## Contact information

- **Practice address:** 5525 ETIWANDA AVE STE 228, TARZANA, CA 91356-6157
- **Practice address phone:** (310) 571-5015
- **Mailing address:** 10573 W PICO BLVD \# 822, LOS ANGELES, CA 90064-2333
- **Mailing address phone:** (310) 571-5015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2026
- **Last updated:** 05/11/2026