Organization
EDWIN OGHOORIAN, DPM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN OGHOORIAN DPM (PRESIDENT)
(626) 914-4099
Entity
Organization
Contact information
Practice address
210 S GRAND AVE, SUITE 307, GLENDORA, CA 91741-4205
(626) 914-4099
(626) 914-4119
Mailing address
210 S GRAND AVE, SUITE 307, GLENDORA, CA 91741-4205
(626) 914-4099
(626) 914-4119
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4526
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E45260
—
CA
01
—
ZZZ06981Z
MEDICARE ID
—
Enumeration date
07/12/2006
Last updated
05/15/2008
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