Organization
FOOT SPECIALISTS OF NORTHRIDGE - PODIATRY GROUP
Active
Parent organization
FOOT SPECIALISTS OF NORTHRIDGE - PODIATRY GROUP
Other names
Foot Specialist of the Conejo Valley
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOOT SPECIALISTS OF NORTHRIDGE - PODIATRY GROUP
Authorized official
MR. STEFAN FELDMAN D.P.M. (OWNER)
(818) 706-1924
Entity
Organization
Contact information
Practice address
32144 AGOURA RD., SUITE 105, WESTLAKE VILLAGE, CA 91361
(818) 706-1924
(818) 706-1369
Mailing address
10515 BALBOA BLVD., SUITE 140, GRANADA HILLS, CA 91344
(818) 363-9900
(818) 363-9915
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
E-2279
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E-2430
CA
332B00000X
Durable Medical Equipment & Medical Supplies
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Other
Enumeration date
02/02/2006
Last updated
03/11/2015
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