Organization
VALLEY FOOT CLINIC PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINTHIA HERNANDEZ M.A. (MEDICAL ASSISTANT)
(818) 784-8420
Entity
Organization
Contact information
Practice address
14600 SHERMAN WAY STE 230, VAN NUYS, CA 91405-2291
(818) 784-8420
(818) 785-0028
Mailing address
14600 SHERMAN WAY STE 230, VAN NUYS, CA 91405-2291
(818) 519-2294
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4452
CA
Other
Enumeration date
03/02/2015
Last updated
06/19/2019
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