Organization
PACIFIC DIABETES INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID POUGATSCH D.P.M. (PRESIDENT/CEO)
(310) 869-8857
Entity
Organization
Contact information
Practice address
15107 VANOWEN ST, AMPUTATION PREVENTION CENTER - 4 EAST, VAN NUYS, CA 91405-4542
(818) 902-5755
(818) 904-3708
Mailing address
PO BOX 914, BEVERLY HILLS, CA 90213-0914
(310) 869-8857
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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