Organization
B. DAVID MASSABAND DPM INC
Active
Other names
TOWER PODIATRY-THE FOOT AND ANKLE SURGICAL INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
BEHNAM DAVID MASSABAND D.P.M. (CEO)
(310) 657-2828
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD, SUITE 705, ENCINO, CA 91436-1914
(310) 657-2828
(310) 657-9733
Mailing address
8631 W 3RD ST, SUITE 940-E, LOS ANGELES, CA 90048-5901
(310) 657-2828
(310) 657-9733
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E39891
—
CA
Enumeration date
01/22/2007
Last updated
01/30/2008
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