# PACIFIC DIABETES INSTITUTE, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1710231626
- **Authorized official:** DR. DAVID POUGATSCH D.P.M. (PRESIDENT/CEO)
- **Authorized official phone:** (310) 869-8857

## Contact information

- **Practice address:** 15107 VANOWEN ST, AMPUTATION PREVENTION CENTER - 4 EAST, VAN NUYS, CA 91405-4542
- **Practice address phone:** (818) 902-5755
- **Practice address fax:** (818) 904-3708
- **Mailing address:** PO BOX 914, BEVERLY HILLS, CA 90213-0914
- **Mailing address phone:** (310) 869-8857

## Taxonomy

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

## Other

- **Enumeration date:** 10/30/2012
- **Last updated:** 10/30/2012