Healthcare Provider Details

I. General information

NPI: 1386520138
Provider Name (Legal Business Name): SLEE FOOT AND ANKLE, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9950 TOPANGA CANYON BLVD UNIT 79
CHATSWORTH CA
91311-3665
US

IV. Provider business mailing address

9950 TOPANGA CANYON BLVD UNIT 79
CHATSWORTH CA
91311-3665
US

V. Phone/Fax

Practice location:
  • Phone: 818-983-8758
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEAN H LEE
Title or Position: PRESIDENT
Credential: DPM
Phone: 818-983-8758