# MAXHEALTH PODIATRY

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

## Provider details

- **NPI number:** 1871825802
- **Authorized official:** MS. JACKIE BARTON (OWNER)
- **Authorized official phone:** (323) 938-0511

## Contact information

- **Practice address:** 6200 WILSHIRE BLVD STE 805, LOS ANGELES, CA 90048-5809
- **Practice address phone:** (323) 938-0511
- **Mailing address:** 6200 WILSHIRE BLVD STE 805, LOS ANGELES, CA 90048-5809
- **Mailing address phone:** (323) 938-0511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4013 | CA | Yes |

## Other

- **Enumeration date:** 02/01/2010
- **Last updated:** 02/01/2010
