# UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER

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

## Provider details

- **NPI number:** 1457735383
- **Authorized official:** DR. BABAK BARAVARIAN DPM (PARTNER)
- **Authorized official phone:** (310) 828-0011

## Contact information

- **Practice address:** 2941 COCHRAN ST STE 5, SIMI VALLEY, CA 93065-2789
- **Practice address phone:** (310) 828-0011
- **Practice address fax:** (310) 828-2001
- **Mailing address:** 2121 WILSHIRE BLVD, 101, SANTA MONICA, CA 90403-5720
- **Mailing address phone:** (310) 828-0011
- **Mailing address fax:** (310) 828-2001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E3141 | CA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4186 | CA | Yes |

## Other

- **Enumeration date:** 07/09/2015
- **Last updated:** 12/14/2015