FOOT AND ANKLE WELLNESS CLINIC


Address: 1030 S Glendale Ave, Suite 504, Glendale, CA 91205
Phone: 8182407673

FOOT AND ANKLE WELLNESS CLINIC (NPI# 1154588556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154588556
Entity Type Organization
Organization Name FOOT AND ANKLE WELLNESS CLINIC
Practice Address 1030 S Glendale Ave
Suite 504
Glendale
CA 91205
Mailing Address 6200 Wilshire Blvd Ste 1712
Los Angeles
CA 90048-5818
Practice Telephone 8182407673
Practice Fax Number 3239372035
Mailing Telephone 3239376903
Mailing Fax Number 3232107171
Enumeration Date 2008-05-22
Last Update Date 2018-06-06
Authorized Official Name DR. SUZANNE LEE MANCHERIAN (PRESIDENT)
Authorized Official Telephone 3239376903
Authorized Official Credential DPM
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
E4429 CA Podiatric Medicine & Surgery Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
6200 Wilshire Blvd Ste 1712, Los Angeles, CA 900485818 3239376903 3232107171

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1235313123 Foot and Ankle Wellness Clinic Podiatrist 6200 Wilshire Blvd Ste 1712, Los Angeles, CA 90048 2007-12-27

Office Location

Street Address 1030 S GLENDALE AVE
SUITE 504
City GLENDALE
State CA
Zip Code 91205

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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104466382 Ashley Torres Behavior Technician 501 East Harvard Street, Glendale, CA 91205 2020-01-15
1306492277 Maria Veronica A Lopez Registered Nurse 1000 E Windsor Rd, Unit 2, Glendale, CA 91205 2019-08-15
1801373469 Lucky Riders Inc. Non-emergency Medical Transport (VAN) 1251 Boynton St Apt 1, Glendale, CA 91205 2018-07-25
1669967006 Happy Life Home Health Care Inc Home Health 225 East Broadway St, Suite 203, Glendale, CA 91205 2018-06-28
1841782356 Liana Hariri Case Manager/Care Coordinator 1540 E. Colorodo St., Glendale, CA 91205 2018-05-31
1992202469 Narek Garukyan Dpm Clinic/Center 815 E Colorado St Ste 210, Glendale, CA 91205 2018-04-10
1619496080 Elite Care Home Health Services Inc Home Health 225 E.broadway, Suite B114, Glendale, CA 91205 2017-09-16
1396284980 Ingrid Pamela Vazquez Solis Case Manager/Care Coordinator 1540 E. Colorado Street, Glendale, CA 91205 2017-02-16
1730533670 Arm Trans Management Company Non-emergency Medical Transport (VAN) 627 E. Windsor Rd # 6, Glendale, CA 91205 2016-04-18
1104290824 Caremore Health Plan Nurse Practitioner 406 E. Colorado Street, Glendale, CA 91205 2015-11-18
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Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962442103 Thinh Trung Le Podiatrist 127 S Brand Blvd, Suite 200, Glendale, CA 91204-1342 2006-06-07
1427276476 David William Jenkins Podiatrist 19555 N 59th Ave, Glendale, AZ 85308-6813 2007-04-23
1164524138 Jeffrey Clarke Page Podiatrist 19389 N 59th Ave, Glendale, AZ 85308-6500 2006-09-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1801411988 David W. Hellewell, D.p.m. Inc Podiatrist 17822 Beach Blvd Ste 407, Huntington Beach, CA 92647-7511 2020-06-15
1265053672 Elite Atlantic Foot & Ankle Clinic Podiatrist 925 S Atlantic Blvd Ste 102, Monterey Park, CA 91754-1063 2020-04-27
1467099085 Berkeley Foot and Ankle Podiatry Group, Inc Podiatrist 106 La Casa Via Ste 270, Walnut Creek, CA 94598-3015 2019-12-02
1164902565 Optimum Podiatry Services Inc Podiatrist 365 Hawthorne Ave Ste 202, Oakland, CA 94609-3114 2018-08-16
1427536697 Rodeo Surgical Institute Inc. Podiatrist 421 N Rodeo Dr Ste T13, Beverly Hills, CA 90210-4500 2018-07-31
1902340201 San Mateo Foot and Ankle Care Inc Podiatrist 101 S San Mateo Dr Ste 212, San Mateo, CA 94401-3843 2016-12-06
1285018986 Platinum Health Center Podiatrist 1125 E 17th St Ste E101, Santa Ana, CA 92701 2015-07-13
1114211786 Ross Eldon Biederman Podiatrist 140 Wyoming Street, June Lake, CA 93529 2011-06-01
1487885414 Eugene Marvin Krank Jr. Podiatrist 4358 W 136th St, #d, Hawthorne, CA 90250-7127 2009-08-08
1861629248 Tanya Panichpakdee Podiatrist 357 Calle Marseille, Long Beach, CA 90814-3219 2009-06-12
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Competitor

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City GLENDALE
Zip Code 91205

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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