Organization
UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BABAK BARAVARIAN DPM (PARTNER)
(310) 828-0011
Entity
Organization
Contact information
Practice address
2941 COCHRAN ST STE 5, SIMI VALLEY, CA 93065-2789
(310) 828-0011
(310) 828-2001
Mailing address
2121 WILSHIRE BLVD, 101, SANTA MONICA, CA 90403-5720
(310) 828-0011
(310) 828-2001
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
E3141
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4186
CA
Other
Enumeration date
07/09/2015
Last updated
12/14/2015
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