Individual
DR. CARLA JEAN PORTER-PURSNANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4108 ADMIRALTY LN, FOSTER CITY, CA 94404-1678
(650) 477-1891
Mailing address
4108 ADMIRALTY LN, FOSTER CITY, CA 94404-1678
(650) 477-1891
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
5082
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355931
—
NY
05
—
02275712
—
NY
Enumeration date
06/06/2006
Last updated
10/02/2025
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