Healthcare Provider Details

I. General information

NPI: 1013926203
Provider Name (Legal Business Name): BURBANK FOOT CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 08/16/2020
Certification Date: 08/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

191 S BUENA VISTA ST STE 315
BURBANK CA
91505-4556
US

IV. Provider business mailing address

191 S BUENA VISTA ST STE 315
BURBANK CA
91505-4556
US

V. Phone/Fax

Practice location:
  • Phone: 818-848-5586
  • Fax: 818-848-2067
Mailing address:
  • Phone: 818-848-5586
  • Fax: 818-848-2067

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberE2586
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE2586
License Number StateCA

VIII. Authorized Official

Name: DR. STUART STEINBERG
Title or Position: PRESIDENT/PODIATRIST
Credential: D.P.M.
Phone: 818-848-5586