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Organization
FOOT AND ANKLE INSTITUTE OF THE WEST
Active
Organization
FOOT AND ANKLE INSTITUTE OF THE WEST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINN MARTIN FAURIA DPM (OWNER)
(818) 623-4455
Entity
Organization
Contact information
Practice address
29525 CANWOOD ST STE 309, AGOURA HILLS, CA 91301-4232
(818) 623-5333
(818) 735-0110
Mailing address
12660 RIVERSIDE DR STE 305, STUDIO CITY, CA 91607-3431
(818) 623-4455
(818) 985-0055
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
2173
CA
Other
Enumeration date
11/07/2006
Last updated
09/02/2022
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