Organization
UNIVERSITY FOOT AND ANKLE INSTITUTE A PPODIATRIC SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK BARAVARIAN DPM (PARTNER)
(310) 828-0011
Entity
Organization
Contact information
Practice address
430 E AVENIDA DE LOS ARBOLES, SUITE 101, THOUSAND OAKS, CA 91360-3003
(310) 828-0011
Mailing address
2121 WILSHIRE BLVD, SANTA MONICA, CA 90403-5720
(310) 828-0011
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3692
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
E3692
CA
213ES0131X
Foot Surgery Podiatrist
E3692
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W16343
PTAN
CA
Enumeration date
07/15/2013
Last updated
07/15/2013
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