Healthcare Provider Details

I. General information

NPI: 1104027424
Provider Name (Legal Business Name): SARMONT PODIATRY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 08/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E GLENOAKS BLVD STE 104
GLENDALE CA
91207-2132
US

IV. Provider business mailing address

125 E GLENOAKS BLVD STE 104
GLENDALE CA
91207-2132
US

V. Phone/Fax

Practice location:
  • Phone: 818-500-0267
  • Fax: 818-500-0278
Mailing address:
  • Phone: 818-500-0267
  • Fax: 818-500-0278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberE3994
License Number StateCA

VIII. Authorized Official

Name: DR. MELINEH ASLANIAN
Title or Position: OWNER
Credential: D.P.M.
Phone: 818-500-0267