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Organization

OLIVER FOSTER DPM A PROFESSIONAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OLIVER SIMMS FOSTER DPM (PRESIDENT)
(323) 295-9711
Entity
Organization

Contact information

Practice address
4131 PUNTA ALTA DR, LOS ANGELES, CA 90008-1132
(323) 295-9711
Mailing address
4131 PUNTA ALTA DR, LOS ANGELES, CA 90008-1132
(323) 295-9711

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
E1092
CA

Other

Enumeration date
11/12/2008
Last updated
04/30/2015
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