Doctor Name: | DR. JOHN JOSEPH VOHASKA |
NPI Number: | 1083752281 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | E3946 |
Business Practice Address: | 4560 Admiralty Way Suite 201 Marina Del Rey, CA - 902925423 |
Business Phone Number: | 3108712383 |
Business Fax Number: | 3108884016 |
Mailing Address: | 269 S Beverly Dr # 368, BEVERLY HILLS |
State: | CA |
Postal Code: | 902123807 |
Phone Number: | 3108712383 |
Fax Number: | 3108884016 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | E3946 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |