| Organization Name: | UNIVERSITY FOOT AND ANKLE INSTITUTE A PODIATRIC SURGICAL CENTER |
| NPI Number: | 1083721054 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BABAK BARAVARIAN (PARTNER PODIATRY) |
| Mailing Address: | 1101 Sepulveda Blvd Suite 104 Manhattan Beach |
| State: | CA US |
| Postal Code: | 90266 |
| Phone Number: | 3108280011 |
| Fax Number: | 3108282001 |
| NPI Enumeration Date: | 08/24/2006 |
| NPI Last Update Date: | 02/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | E3141 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |