FOOT & ANKLE INSTITUTE OF THE WEST A PODIATRY CORPORATION
Medical Practice at Riverside Dr, North Hollywood, CA

License number
California 88417627
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: DR. QUINN MARTIN FAURIA DPM
Title: OWNER
Phone: (818) 623-4455
Address
Address
12660 Riverside Dr STE 305, North Hollywood, CA 91607
National Provider ID: 1295813491
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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FOOT & ANKLE INSTITUTE OF THE WEST, A PODIATRY CORPORATION

12660 Riverside Dr, Valley Village, CA 91607

Industry:
Podiatrist's Office
Registration:
Nov 1, 2002
Phone:
(818) 623-4455 (Phone)
State ID:
C2473452
Business type:
Articles of Incorporation
President:
Quinn Martin Fauria (President)

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