Katayoun Abtin Dpm A Professional Corp | |
1726 S Bentley Ave Apt 302, Los Angeles, CA 90025-4343 | |
(818) 414-2300 | |
Not Available |
Full Name | Katayoun Abtin Dpm A Professional Corp |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 1726 S Bentley Ave Apt 302, 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 |
---|---|---|---|
1316678162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Provider Name | Katayoun Abtin |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1437654589 PECOS PAC ID: 2860899663 Enrollment ID: I20210921003187 |
Mailing Address | Practice Location Address |
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Katayoun Abtin Dpm A Professional Corp 1726 S Bentley Ave Apt 302, Los Angeles, CA 90025-4343 Ph: () - | Katayoun Abtin Dpm A Professional Corp 1726 S Bentley Ave Apt 302, Los Angeles, CA 90025-4343 Ph: (818) 414-2300 |
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