Organization
M & K PODIATRIC MEDICAL MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARA KELEKIAN D.P.M. (PARTNER)
(323) 270-0295
Entity
Organization
Contact information
Practice address
4314 W VICTORY BLVD, BURBANK, CA 91505-1334
(818) 843-6611
(818) 843-6656
Mailing address
4314 W VICTORY BLVD, BURBANK, CA 91505-1334
(818) 843-6611
(818) 843-6656
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4536
CA
332BC3200X
Customized Equipment (DME)
E4536
CA
Other
Enumeration date
10/02/2005
Last updated
01/28/2008
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