# MY FOOT CLINIC, INC

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

## Provider details

- **NPI number:** 1548560766
- **Authorized official:** NICOLE POURMOUSSA (OFFICE MANAGER)
- **Authorized official phone:** (818) 344-6300

## Contact information

- **Practice address:** 18909 SHERMAN WAY, B, RESEDA, CA 91335-7700
- **Practice address phone:** (818) 344-6300
- **Practice address fax:** (818) 774-9719
- **Mailing address:** 18909 SHERMAN WAY, B, RESEDA, CA 91335-7700
- **Mailing address phone:** (818) 344-6300
- **Mailing address fax:** (818) 774-9719

## Taxonomy

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

## Other

- **Enumeration date:** 10/22/2010
- **Last updated:** 07/21/2022