Organization
FOOT SPECIALISTS OF NORTHRIDGE - PODIATRY GROUP
Active
Other names
Foot Specialists of Northridge
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A KELMAN D.P.M. (OWNER)
(818) 363-9900
Entity
Organization
Contact information
Practice address
10515 BALBOA BLVD, STE 140, GRANADA HILLS, CA 91344-6343
(818) 363-9900
(818) 363-9915
Mailing address
10515 BALBOA BLVD, STE 140, GRANADA HILLS, CA 91344-6343
(818) 363-9900
(818) 363-9915
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E2279
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0000440
—
CA
Enumeration date
05/18/2007
Last updated
01/30/2015
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