Individual
JAMES LEONARD KNUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
9808 VENICE BLVD STE 600, CULVER CITY, CA 90232-6807
(310) 876-1579
Mailing address
PO BOX 368, CULVER CITY, CA 90232-0368
(310) 994-9376
(310) 202-8291
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E2159
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2159
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E21590
—
CA
Enumeration date
04/19/2006
Last updated
02/26/2021
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