Organization Name: | BURBANK FOOT CARE CENTER, INC. A PODIATRY GROUP |
NPI Number: | 1013926203 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STUART STEINBERG (PRESIDENT/PODIATRIST) |
Mailing Address: | 3322 W Magnolia Blvd Burbank |
State: | CA US |
Postal Code: | 915052907 |
Phone Number: | 8188485586 |
Fax Number: | 8188482067 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | E2586 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |