Organization
PODIATRY INSTITUTE OF SOUTHERN CALIFORNIA INC.
Active
Other names
Podiatry Institute of Southern California
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT A NEJAT D.P.M. (PRESIDENT)
(310) 204-2300
Entity
Organization
Contact information
Practice address
9808 VENICE BLVD, SUITE 600, CULVER CITY, CA 90232-6807
(310) 204-2300
(310) 204-0444
Mailing address
9808 VENICE BLVD, SUITE 600, CULVER CITY, CA 90232-6807
(310) 204-2300
(310) 204-0444
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
E4400
CA
Other
Enumeration date
07/05/2007
Last updated
12/09/2011
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