Organization Name: | UNIVERSAL FOOT AND ANKLE CARE, A PODIATRY CORPORATION |
NPI Number: | 1053678078 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAYMAN R HOSHYARSAR (PRESIDENT) |
Mailing Address: | 11800 Valley Blvd El Monte |
State: | CA US |
Postal Code: | 917323040 |
Phone Number: | 8187237862 |
Fax Number: | |
NPI Enumeration Date: | 04/16/2012 |
NPI Last Update Date: | 04/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E4547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |