Organization
BOB ALAVY DPM INC
Active
Other names
FOOT AND ANKLE SPECIALTY CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK ALAVYNEJAD DPM (CEO)
(626) 338-1800
Entity
Organization
Contact information
Practice address
741 S ORANGE AVE, WEST COVINA, CA 91790-2662
(626) 338-1800
Mailing address
269 S BEVERLY DR # 668, BEVERLY HILLS, CA 90212-3851
(626) 338-1800
(626) 338-3720
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3996
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E39961
—
CA
Enumeration date
12/02/2006
Last updated
06/03/2008
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