# FOOT & ANKLE INSTITUTE OF THE WEST A PODIATRY CORPORATION

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

## Provider details

- **NPI number:** 1295813491
- **Authorized official:** DR. QUINN MARTIN FAURIA DPM (OWNER)
- **Authorized official phone:** (818) 623-4455

## Contact information

- **Practice address:** 18433 ROSCOE BLVD STE 214, NORTHRIDGE, CA 91325-4123
- **Practice address phone:** (818) 985-0055
- **Mailing address:** 12660 RIVERSIDE DR STE 305, STUDIO CITY, CA 91607-3431
- **Mailing address phone:** (818) 623-4455
- **Mailing address fax:** (818) 985-0055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 88417627 | CA | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 09/02/2022
