| Prime Podiatric Group, Inc | |
|
10916 Riverside Dr, Toluca Lake, CA 91602-2210 | |
| (818) 488-6076 | |
| (818) 210-0281 |
| Full Name | Prime Podiatric Group, Inc |
|---|---|
| Type | Facility |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 10916 Riverside Dr, Toluca Lake, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962265835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| Provider Name | Dwight Gregory Stephens |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1053334813 PECOS PAC ID: 7517903073 Enrollment ID: I20100517000835 |
| Provider Name | Jonathan Pirak |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1528598133 PECOS PAC ID: 7911238449 Enrollment ID: I20191014002313 |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Podiatric Group, Inc 10916 Riverside Dr, Toluca Lake, CA 91602-2210 Ph: (818) 488-6076 | Prime Podiatric Group, Inc 10916 Riverside Dr, Toluca Lake, CA 91602-2210 Ph: (818) 488-6076 |
Dr. Dennis Yenn, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4400 Cartwright Ave Unit 304, Toluca Lake, CA 91602 Phone: 818-653-9366 Fax: 775-890-4170 | |
Eleanor Andrea Wallen, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 4418 Vineland Ave, Suite 215, Toluca Lake, CA 91602 Phone: 818-980-3383 Fax: 818-980-5383 | |
Dr. Jeana G. Libed, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 10112 Riverside Dr, Toluca Lake, CA 91602 Phone: 818-506-5325 Fax: 818-506-1739 | |
Toluca Lake Foot Institute Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 10916 Riverside Dr, Toluca Lake, CA 91602 Phone: 818-488-6076 Fax: 818-210-0281 | |
Eleanor A Wallen Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 4418 Vineland Avenue, Suite 215, Toluca Lake, CA 91602 Phone: 818-980-3383 Fax: 818-980-5383 |