Healthcare Provider Details

I. General information

NPI: 1467624882
Provider Name (Legal Business Name): NOREEN N OSWELL D P M INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2008
Last Update Date: 03/22/2022
Certification Date: 03/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8631 W 3RD ST 303-E
LOS ANGELES CA
90048-5901
US

IV. Provider business mailing address

8631 W 3RD ST 303-E
LOS ANGELES CA
90048-5901
US

V. Phone/Fax

Practice location:
  • Phone: 310-360-0001
  • Fax: 310-360-0135
Mailing address:
  • Phone: 310-360-0001
  • Fax: 310-360-0135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE3441
License Number StateCA

VIII. Authorized Official

Name: DR. NOREEN OSWELL
Title or Position: OWNER
Credential: DPM
Phone: 310-360-0001