Organization
FOOT & ANKLE INSTITUTE OF THE WEST A PODIATRY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINN MARTIN FAURIA DPM (OWNER)
(818) 623-4455
Entity
Organization
Contact information
Practice address
18433 ROSCOE BLVD STE 214, NORTHRIDGE, CA 91325-4123
(818) 985-0055
Mailing address
12660 RIVERSIDE DR STE 305, STUDIO CITY, CA 91607-3431
(818) 623-4455
(818) 985-0055
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
88417627
CA
Other
Enumeration date
11/02/2006
Last updated
09/02/2022
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