MEDICARE: WESTERN PODMED CLINIC INC

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	E4513	CA

General Provider Information

NPI Number	:	1215298286
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTERN PODMED CLINIC INC

Provider Business Mailing Address
First Line	:	1500 S CENTRAL AVE
Second Line	:	SUITE 323
City	:	GLENDALE
State	:	CA
Zip	:	91204-2530
Country	:	US
Telephone Number	:	818-243-0400
Fax Number	:	818-507-9902

Provider Business Practice Location Address
First Line	:	1500 S CENTRAL AVE
Second Line	:	SUITE 323
City	:	GLENDALE
State	:	CA
Zip	:	91204-3858
Country	:	US
Telephone Number	:	818-243-0400
Fax Number	:	818-507-9902

Authorized Official
Title or Position	:	PODIATRIST/OWNER
Name	:	DR. MARTIN MORADIAN
Credential	:	D.P.M.
Telephone Number	:	818-243-0400

Provider Enumeration Date	:	06/06/2012
Last Update Date	:	07/31/2012

Similar Medicare Providers

1831022607 — ELEN BEREMESH NP
Practice Location Address:

1500 S CENTRAL AVE STE 323
GLENDALE, CA
91204-3858

Practice Phone: 747-200-6948
Practice Fax: 747-800-8005

1396625612 — PRIME PATH MEDICAL GROUP MD
Practice Location Address:

1500 S CENTRAL AVE STE 323
GLENDALE, CA
91204-3858

Practice Phone: 747-200-6948
Practice Fax: 747-800-8005

1376401034 — MD ON THE GO MEDICAL CORPORATION
Practice Location Address:

815 S CENTRAL AVE STE 1B
GLENDALE, CA
91204-2046

Practice Phone: 747-900-9700
Practice Fax:

1891628541 — KATTY BURGOS
Practice Location Address:

225 W BROADWAY STE 155
GLENDALE, CA
91204-1332

Practice Phone: 310-818-2107
Practice Fax:

1225961584 — CALIFORNIA DRUGS, INC
Practice Location Address:

730 S CENTRAL AVE STE 117
GLENDALE, CA
91204-4325

Practice Phone: 818-956-1577
Practice Fax: 818-244-5308

1285637603 — PROMPTCARE HEALTH SERVICES INC.
Practice Location Address:

454 S CENTRAL AVE
GLENDALE, CA
91204-4760

Practice Phone: 818-500-1902
Practice Fax:

Directions to “WESTERN PODMED CLINIC INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.