Organization
PACIFIC FOOT AND ANKLE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN OGHOORIAN DPM (PRESIDENT)
(626) 385-3338
Entity
Organization
Contact information
Practice address
150 W FOOTHILL BLVD UNIT F, SAN DIMAS, CA 91773-1103
(626) 385-3388
(626) 914-4119
Mailing address
150 W FOOTHILL BLVD UNIT F, SAN DIMAS, CA 91773-1103
(626) 385-3388
(626) 914-4119
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4526
CA
261QP1100X
Podiatric Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1741339
—
CA
Enumeration date
07/22/2009
Last updated
03/02/2023
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