# TAVAKALYAN PODIATRY PC

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

## Provider details

- **NPI number:** 1316725088
- **Authorized official:** DR. KARINA TAVAKALYAN DPM (PODIATRIST)
- **Authorized official phone:** (616) 482-7890

## Contact information

- **Practice address:** 501 W GLENOAKS BLVD STE 10, GLENDALE, CA 91202-4039
- **Practice address phone:** (616) 482-7890
- **Practice address fax:** (855) 203-0413
- **Mailing address:** 501 WEST GLENOAKS BLVD,, SUITE 10, PMB 212, GLENDALE, CA 91202-2341
- **Mailing address phone:** (616) 482-7890
- **Mailing address fax:** (855) 203-0413

## Taxonomy

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

## Other

- **Enumeration date:** 09/15/2023
- **Last updated:** 04/01/2025