# VALLEY FOOT CLINIC PROFESSIONAL CORPORATION

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

## Provider details

- **NPI number:** 1689066581
- **Authorized official:** MS. CINTHIA HERNANDEZ M.A. (MEDICAL ASSISTANT)
- **Authorized official phone:** (818) 784-8420

## Contact information

- **Practice address:** 14600 SHERMAN WAY STE 230, VAN NUYS, CA 91405-2291
- **Practice address phone:** (818) 784-8420
- **Practice address fax:** (818) 785-0028
- **Mailing address:** 14600 SHERMAN WAY STE 230, VAN NUYS, CA 91405-2291
- **Mailing address phone:** (818) 519-2294

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4452 | CA | Yes |

## Other

- **Enumeration date:** 03/02/2015
- **Last updated:** 06/19/2019