# WESTERN PODMED CLINIC INC

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

## Provider details

- **NPI number:** 1316185788
- **Authorized official:** MARTIN MORADIAN DPM (PRESIDENT)
- **Authorized official phone:** (818) 243-0400

## Contact information

- **Practice address:** 1500 S CENTRAL AVE, STE 323, GLENDALE, CA 91204-2530
- **Practice address phone:** (818) 243-0400
- **Practice address fax:** (818) 507-9902
- **Mailing address:** 1500 S CENTRAL AVE, STE 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:** 01/23/2009
- **Last updated:** 01/23/2009