Healthcare Provider Details
I. General information
NPI: 1871406835
Provider Name (Legal Business Name): GOLDEN STEPS PODIATRY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3847 GRAND VIEW BLVD
LOS ANGELES CA
90066-4414
US
IV. Provider business mailing address
3847 GRAND VIEW BLVD
LOS ANGELES CA
90066-4414
US
V. Phone/Fax
- Phone: 818-245-2883
- Fax:
- Phone: 818-245-2883
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ASHOT
OGANESYAN
Title or Position: PRESIDENT
Credential: DPM
Phone: 818-245-2883