# FOOT SPECIALISTS OF NORTHRIDGE - PODIATRY GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOOT SPECIALISTS OF NORTHRIDGE - PODIATRY GROUP
- **Other names:** Foot Specialist of the Conejo Valley
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1801868013
- **Legal business name:** FOOT SPECIALISTS OF NORTHRIDGE - PODIATRY GROUP
- **Authorized official:** MR. STEFAN FELDMAN D.P.M. (OWNER)
- **Authorized official phone:** (818) 706-1924

## Contact information

- **Practice address:** 32144 AGOURA RD., SUITE 105, WESTLAKE VILLAGE, CA 91361
- **Practice address phone:** (818) 706-1924
- **Practice address fax:** (818) 706-1369
- **Mailing address:** 10515 BALBOA BLVD., SUITE 140, GRANADA HILLS, CA 91344
- **Mailing address phone:** (818) 363-9900
- **Mailing address fax:** (818) 363-9915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E-2279 | CA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E-2430 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 02/02/2006
- **Last updated:** 03/11/2015