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Organization

FOUNDATION MEDICAL INSTITUTE, A PROFESSIONAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RITU JAIN VISWANATH MD (MANAGING MEMBER/CHIEF MEDICAL OFFI)
(310) 571-5015
Entity
Organization

Contact information

Practice address
5525 ETIWANDA AVE STE 228, TARZANA, CA 91356-6157
(310) 571-5015
Mailing address
10573 W PICO BLVD # 822, LOS ANGELES, CA 90064-2333
(310) 571-5015

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
02/03/2026
Last updated
05/11/2026
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