# WESTERN PODMED CLINIC INC

> 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
- **Other names:** prime care podiatry center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215298286
- **Authorized official:** DR. MARTIN MORADIAN D.P.M. (PODIATRIST/OWNER)
- **Authorized official phone:** (818) 243-0400

## Contact information

- **Practice address:** 1500 S CENTRAL AVE, SUITE 323, GLENDALE, CA 91204-3858
- **Practice address phone:** (818) 243-0400
- **Practice address fax:** (818) 507-9902
- **Mailing address:** 1500 S CENTRAL AVE, SUITE 323, GLENDALE, CA 91204-2530
- **Mailing address phone:** (818) 243-0400
- **Mailing address fax:** (818) 507-9902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4513 | CA | Yes |

## Other

- **Enumeration date:** 06/06/2012
- **Last updated:** 07/31/2012