Organization
ADVANCED FOOT AND ANKLE INSTITUTE, A PODIATRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAYMAN HOSHYARSAR (PRESIDENT)
(818) 723-7862
Entity
Organization
Contact information
Practice address
2840 E LOS ANGELES AVE, SIMI VALLEY, CA 93065-3937
(805) 526-8360
Mailing address
PO BOX 280748, NORTHRIDGE, CA 91328-0748
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4547
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W22394
PTAN
—
01
—
W22395
PTAN #
—
Enumeration date
05/03/2007
Last updated
08/25/2008
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