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Organization
WESTERN PODMED CLINIC INC
Active
Organization
WESTERN PODMED CLINIC INC
Active
Other names
prime care podiatry center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN MORADIAN D.P.M. (PODIATRIST/OWNER)
(818) 243-0400
Entity
Organization
Contact information
Practice address
1500 S CENTRAL AVE, SUITE 323, GLENDALE, CA 91204-3858
(818) 243-0400
(818) 507-9902
Mailing address
1500 S CENTRAL AVE, SUITE 323, GLENDALE, CA 91204-2530
(818) 243-0400
(818) 507-9902
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4513
CA
Other
Enumeration date
06/06/2012
Last updated
07/31/2012
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