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NPI 1144330283

NPI 1144330283 : LOS ANGELES INSTITUTE OF FOOT AND ANKLE SURGERY, INC. : BURBANK, CA

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General NPI Number Information
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    NPI Number           |    1144330283
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOS ANGELES INSTITUTE OF FOOT AND ANKLE SURGERY, INC. 
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Dates
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    Enumeration Date     |    08/30/2006
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    Last Update Date     |    02/21/2008
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Provider Practice Location Address
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    Address Line         |    201 S BUENA VISTA ST SUITE 235
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91505-4569
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    Country              |    US
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    Telephone            |    818-848-5588
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    Fax                  |    818-848-5509
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Provider Business Mailing Address
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    Address Line         |    201 S BUENA VISTA ST SUITE 235
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    City                 |    BURBANK
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    State                |    CA
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    Zip                  |    91505-4569
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    Country              |    US
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    Telephone            |    818-848-5588
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    Fax                  |    818-848-5509
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. ARMEN  HAGOPJANIAN 
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    Credential           |    D.P.M.
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    Telephone            |    818-848-5588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    
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    License Number State |    
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