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NPI Code Detail

MEDICARE: ISANA FILS-AIME DPM

MEDICARE: ISANA FILS-AIME DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristPO61677598WA
2213ES0103XFoot & Ankle Surgery PodiatristSC007188PA

General Provider Information

NPI Number : 1205500295
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISANA FILS-AIME DPM
Provider Business Mailing Address
First Line : PO BOX 741515
Second Line :
City : LOS ANGELES
State : CA
Zip : 90074-1515
Country : US
Telephone Number : 206-223-6487
Fax Number : 206-223-2214
Provider Business Practice Location Address
First Line : 1100 9TH AVE
Second Line :
City : SEATTLE
State : WA
Zip : 98101-2756
Country : US
Telephone Number : 206-223-6487
Fax Number : 206-223-6487
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2021
Last Update Date : 12/12/2025

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Directions to “ ISANA FILS-AIME DPM” Practice Location

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