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Organization
VALLEY FOOT CLINIC PROFESSIONAL CORPORATION
Active
Organization
VALLEY FOOT CLINIC PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINTHIA HERNANDEZ M.A. (MEDICAL ASSISTANT)
(818) 784-8420
Entity
Organization
Contact information
Practice address
14600 SHERMAN WAY STE 230, VAN NUYS, CA 91405-2291
(818) 784-8420
(818) 785-0028
Mailing address
14600 SHERMAN WAY STE 230, VAN NUYS, CA 91405-2291
(818) 519-2294
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4452
CA
Other
Enumeration date
03/02/2015
Last updated
06/19/2019
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