Organization
UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BABAK BARAVARIAN DPM (OWNER)
(310) 282-0011
Entity
Organization
Contact information
Practice address
295 IMPERIAL HWY, FULLERTON, CA 92835-1020
(310) 828-0011
Mailing address
2121 WILSHIRE BLVD, SUITE 101, SANTA MONICA, CA 90403-5720
(310) 828-0011
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E3141
CA
213E00000X
Podiatrist
E4186
CA
213E00000X
Podiatrist
Primary
E4928
CA
Other
Enumeration date
02/05/2013
Last updated
05/16/2013
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