Organization
FOOT AND ANKLE WELLNESS CLINIC
Active
Organization
FOOT AND ANKLE WELLNESS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE LEE MANCHERIAN DPM (PRESIDENT)
(323) 937-6903
Entity
Organization
Contact information
Practice address
1030 S GLENDALE AVE, SUITE 504, GLENDALE, CA 91205
(818) 240-7673
(323) 937-2035
Mailing address
6200 WILSHIRE BLVD STE 1712, LOS ANGELES, CA 90048-5818
(323) 937-6903
(323) 210-7171
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E4429
CA
Other
Enumeration date
05/22/2008
Last updated
06/06/2018
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