Organization Name: | DAWN R. BURATTI, D.P.M., INC |
NPI Number: | 1003077306 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAWN RUTH BURATTI (OWNER) |
Mailing Address: | 5400 Balboa Blvd Suite 120 Encino |
State: | CA US |
Postal Code: | 913161502 |
Phone Number: | 8189076100 |
Fax Number: | 8665134995 |
NPI Enumeration Date: | 06/19/2008 |
NPI Last Update Date: | 12/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |