Organization
PROFESSIONAL FOOT AND ANKLE CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMIN FERADOUNI NEJAD DPM (OWNER, PRESIDENT)
(818) 571-5358
Entity
Organization
Contact information
Practice address
28631 S WESTERN AVE STE 102, RANCHO PALOS VERDES, CA 90275-0816
(818) 558-7075
(818) 558-7081
Mailing address
2601 W ALAMEDA AVE STE 208, BURBANK, CA 91505-4810
(818) 558-7075
(818) 558-7081
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E4767
LICENSE
CA
Enumeration date
07/13/2017
Last updated
07/13/2017
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