Organization
BURBANK FOOT DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER AYUDELE OTIKO DPM (DPM OWNER)
(818) 238-9892
Entity
Organization
Contact information
Practice address
3906 W BURBANK BLVD, BURBANK, CA 91505-2117
(818) 238-9892
(818) 238-9893
Mailing address
3906 W BURBANK BLVD, BURBANK, CA 91505-2117
(818) 238-9892
(818) 238-9893
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E41591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5292240001
DMERC
—
Enumeration date
01/09/2006
Last updated
08/22/2020
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