# GLENDALE FOOT & ANKLE PODIATRY CENTER, INC.

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

## Provider details

- **NPI number:** 1710173489
- **Authorized official:** DR. HERMOZ B AYVAZIAN DPM (OWNER)
- **Authorized official phone:** (818) 242-4426

## Contact information

- **Practice address:** 110 S ADAMS ST, GLENDALE, CA 91205-1312
- **Practice address phone:** (818) 242-4426
- **Practice address fax:** (818) 242-4409
- **Mailing address:** 110 S ADAMS ST, GLENDALE, CA 91205-1312
- **Mailing address phone:** (818) 242-4426
- **Mailing address fax:** (818) 242-4409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E3761 | CA | Yes |

## Other

- **Enumeration date:** 09/17/2007
- **Last updated:** 01/10/2023