Healthcare Provider Details

I. General information

NPI: 1275442394
Provider Name (Legal Business Name): KHURI FOOT & ANKLE PODIATRY GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 BELLINGHAM AVE STE 2
N HOLLYWOOD CA
91606-1402
US

IV. Provider business mailing address

6440 BELLINGHAM AVE STE 2
N HOLLYWOOD CA
91606-1402
US

V. Phone/Fax

Practice location:
  • Phone: 818-860-4330
  • Fax:
Mailing address:
  • Phone: 818-860-4330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP0504X
TaxonomyPublic Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: JANE KHURI
Title or Position: CEO
Credential: DPM
Phone: 818-860-4330