Organization
CLEMENT PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEILA OSTOVER-KERMANI DPM (OWNER)
(415) 898-4828
Entity
Organization
Contact information
Practice address
1615 HILL RD STE E, NOVATO, CA 94947-4338
(415) 898-4828
(415) 898-4878
Mailing address
1615 HILL RD STE E, NOVATO, CA 94947-4338
(415) 898-4828
(415) 898-4878
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
04/30/2020
Last updated
08/30/2023
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