# MIDWAY PODIATRY CLINIC INC

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

## Provider details

- **NPI number:** 1821113481
- **Authorized official:** DR. PARIS SERVATJOO DPM (DOCTOR OWNER)
- **Authorized official phone:** (818) 995-4040

## Contact information

- **Practice address:** 7217 CANBY AVE, RESEDA, CA 91335-3003
- **Practice address phone:** (818) 995-4040
- **Practice address fax:** (818) 996-3219
- **Mailing address:** 7217 CANBY AVE, RESEDA, CA 91335-3003
- **Mailing address phone:** (818) 995-4040
- **Mailing address fax:** (818) 996-3219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E3494 | CA | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 12/18/2008