| NPI | 1053143453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOT OGANESYAN Mgr 818-245-2883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2025-10-06 |