# DIABETIC FOOTWEAR, INC.

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

## Provider details

- **NPI number:** 1679598403
- **Authorized official:** MR. OGANES YEGISHYAN (PRESIDENT, CEO)
- **Authorized official phone:** (818) 559-1311

## Contact information

- **Practice address:** 711 S SAN FERNANDO BLVD STE C, BURBANK, CA 91502-1445
- **Practice address phone:** (818) 559-1311
- **Mailing address:** PO BOX 29632, LOS ANGELES, CA 90029-0632
- **Mailing address phone:** (818) 559-1311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 07/21/2022