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Organization

HOLLYWOOD FOOT AND ANKLE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. FARID DIDARI DPM (CFO)
(909) 464-8600
Entity
Organization

Contact information

Practice address
11631 VICTORY BLVD STE 104, N HOLLYWOOD, CA 91606-3572
(909) 946-6643
Mailing address
11631 VICTORY BLVD STE 104, N HOLLYWOOD, CA 91606-3572
(909) 946-6643

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary

Other

Enumeration date
01/31/2025
Last updated
01/31/2025
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