Organization
OPTIMAL FOOT AND ANKLE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KHAKSHOOR DPM (OWNER)
(410) 725-3363
Entity
Organization
Contact information
Practice address
2080 CENTURY PARK E STE 1207, LOS ANGELES, CA 90067-2015
(410) 725-3363
Mailing address
1220 MANNING AVE APT 14, LOS ANGELES, CA 90024-5078
(410) 725-3363
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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