Healthcare Provider Details

I. General information

NPI: 1982557385
Provider Name (Legal Business Name): FOUNDATION HAND SURGERY INSTITUTE A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 ETIWANDA AVE
TARZANA CA
91356-3647
US

IV. Provider business mailing address

5525 ETIWANDA AVE STE 228
TARZANA CA
91356-6157
US

V. Phone/Fax

Practice location:
  • Phone: 310-295-6317
  • Fax:
Mailing address:
  • Phone: 310-295-6317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PURAB VISWANATH
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 440-453-5944