Beverly Foot Care Center | |
2105 Beverly Blvd Ste 233c Los Angeles CA 90057-2216 | |
(310) 877-9114 | |
Not Available |
Full Name | Beverly Foot Care Center |
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Speciality | Clinic/Center |
Location | 2105 Beverly Blvd Ste 233c, Los Angeles, California |
Authorized Official Name and Position | Samira Mehrizi (MEDICAL DIRECTOR) |
Authorized Official Contact | 3108779114 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Beverly Foot Care Center 2105 Beverly Blvd Ste 233c Los Angeles CA 90057-2216 Ph: (310) 877-9114 | Beverly Foot Care Center 2105 Beverly Blvd Ste 233c Los Angeles CA 90057-2216 Ph: (310) 877-9114 |
NPI Number | 1164092367 |
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Provider Enumeration Date | 06/29/2021 |
Last Update Date | 06/29/2021 |
Medicare PECOS PAC ID | 4587068366 |
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Medicare Enrollment ID | O20210802003479 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164092367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Samira Mehrizi |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1386084457 PECOS PAC ID: 1254560634 Enrollment ID: I20140205000629 |
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