Organization
UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTER
Active
Parent organization
UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY FOOT & ANKLE INSTITUTE PODIACTRIC SURGICAL CENTER
Authorized official
BABAK BARAVARIAN DPM (CEO)
(310) 828-0011
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD STE 1080, ENCINO, CA 91436-4352
(310) 828-0011
Mailing address
2121 WILSHIRE BLVD STE 101, SANTA MONICA, CA 90403-5742
(310) 828-0011
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4186
CA
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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