# M & K PODIATRIC MEDICAL MANAGEMENT

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

## Provider details

- **NPI number:** 1952398265
- **Authorized official:** DR. ARA KELEKIAN D.P.M. (PARTNER)
- **Authorized official phone:** (323) 270-0295

## Contact information

- **Practice address:** 4314 W VICTORY BLVD, BURBANK, CA 91505-1334
- **Practice address phone:** (818) 843-6611
- **Practice address fax:** (818) 843-6656
- **Mailing address:** 4314 W VICTORY BLVD, BURBANK, CA 91505-1334
- **Mailing address phone:** (818) 843-6611
- **Mailing address fax:** (818) 843-6656

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | E4536 | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | E4536 | CA | — |

## Other

- **Enumeration date:** 10/02/2005
- **Last updated:** 01/28/2008