Organization
ENCINO FOOT CARE A PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE DIANE GILMAN KLINE D.P.M. (PRESIDENT)
(818) 905-1000
Entity
Organization
Contact information
Practice address
17777 VENTURA BLVD, SUITE 230, ENCINO, CA 91316-3736
(818) 905-1000
Mailing address
PO BOX 972, WOODLAND HILLS, CA 91365-0972
(818) 905-1000
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2775
CA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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