Organization
VALLEY FOOT AND ANKLE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN BURATTI DPM (PRESIDENT)
(818) 907-6102
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD, SUITE 120, ENCINO, CA 91316-1502
(818) 907-6102
(866) 513-4995
Mailing address
5400 BALBOA BLVD, SUITE 120, ENCINO, CA 91316-1502
(818) 907-6102
(866) 513-4995
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5418870001
DMERC SUPPLIER NUMBER
CA
Enumeration date
03/05/2007
Last updated
09/30/2009
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