Organization
FAR WEST PODIATRIC MEDICAL GROUP
Active
Organization
FAR WEST PODIATRIC MEDICAL GROUP
Active
Other names
Far West Podiatry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN L WRUBEL DPM (PRESIDENT)
(310) 675-0900
Entity
Organization
Contact information
Practice address
13624 HAWTHORNE BLVD STE 206, HAWTHORNE, CA 90250-5818
(310) 675-0900
(310) 675-0904
Mailing address
13624 HAWTHORNE BLVD, SUITE 206, HAWTHORNE, CA 90250-5818
(310) 675-0900
(310) 675-0904
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E3328
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GRE001780
—
CA
Enumeration date
01/04/2007
Last updated
07/13/2022
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