| Foot And Ankle Wellness Clinic | |
|
6310 San Vicente Blvd Ste 220, Los Angeles, CA 90048-5458 | |
| (323) 937-6903 | |
| (323) 210-7171 |
| Full Name | Foot And Ankle Wellness Clinic |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot Surgery |
| Location | 6310 San Vicente Blvd Ste 220, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235313123 | NPI | - | NPPES |
| 000E28430 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0131X | Podiatrist - Foot Surgery | E4429 (California) | Primary |
| Provider Name | Suzanne Lee Mancherian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1427129741 PECOS PAC ID: 5799707352 Enrollment ID: I20051222000550 |
| Mailing Address | Practice Location Address |
|---|---|
| Foot And Ankle Wellness Clinic 6310 San Vicente Blvd Ste 220, Los Angeles, CA 90048-5458 Ph: (323) 937-6903 | Foot And Ankle Wellness Clinic 6310 San Vicente Blvd Ste 220, Los Angeles, CA 90048-5458 Ph: (323) 937-6903 |
West Beverly Podiatry Group Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3545 Griffith Park Blvd, Los Angeles, CA 90027 Phone: 323-664-4331 Fax: 323-664-4331 | |
Steve M Tung, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3616 E 1st St, Los Angeles, CA 90063 Phone: 323-264-6157 | |
University Podiatry Group, Inc. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 100 Ucla Medical Plz, #460, Los Angeles, CA 90095 Phone: 310-443-8999 Fax: 310-208-4847 | |
Western Foot & Ankle Center Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 966 S Western Ave Ste 205, Los Angeles, CA 90006 Phone: 323-733-1500 Fax: 323-733-1724 | |
Dr. Pegah Samouhi, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 8631 W 3rd St, Los Angeles, CA 90048 Phone: 310-657-2828 | |
University Foot And Ankle Institute A Podiatric Surgical Center Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 3984 S Figueroa St, Los Angeles, CA 90037 Phone: 213-747-7272 Fax: 310-791-3311 | |
Charles E Ananian, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3616 E 1st St, Los Angeles, CA 90063 Phone: 323-264-6157 Fax: 323-264-0099 |