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Organization
HOLLYWOOD FOOT AND ANKLE CENTER INC
Active
Organization
HOLLYWOOD FOOT AND ANKLE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID DIDARI DPM (CFO)
(909) 464-8600
Entity
Organization
Contact information
Practice address
11631 VICTORY BLVD STE 104, N HOLLYWOOD, CA 91606-3572
(909) 946-6643
Mailing address
11631 VICTORY BLVD STE 104, N HOLLYWOOD, CA 91606-3572
(909) 946-6643
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
NULL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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