Organization
WESTERN PODMED CLINIC INC
Active
Other names
prime care podiatry center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN MORADIAN D.P.M. (PODIATRIST/OWNER)
(818) 243-0400
Entity
Organization
Contact information
Practice address
1500 S CENTRAL AVE, SUITE 323, GLENDALE, CA 91204-3858
(818) 243-0400
(818) 507-9902
Mailing address
1500 S CENTRAL AVE, SUITE 323, GLENDALE, CA 91204-2530
(818) 243-0400
(818) 507-9902
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4513
CA
Other
Enumeration date
06/06/2012
Last updated
07/31/2012
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