MEDICARE: PAK PODIATRY CORP

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	261QP1100X	Podiatric Clinic/Center	E4251	CA

General Provider Information

NPI Number	:	1245370444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAK PODIATRY CORP

Provider Business Mailing Address
First Line	:	1123 S CENTRAL AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-2212
Country	:	US
Telephone Number	:	818-242-8805
Fax Number	:	818-242-4442

Provider Business Practice Location Address
First Line	:	1123 S CENTRAL AVE
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91204-2212
Country	:	US
Telephone Number	:	818-242-8805
Fax Number	:	818-242-4442

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMES(SANG) JOON PAK
Credential	:	D.P.M
Telephone Number	:	818-242-8805

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	11/08/2007

Similar Medicare Providers

1538168174 — SAMVEL HMAYAKYAN M.D.
Practice Location Address:

1133 S CENTRAL AVE UNIT 1
GLENDALE, CA
91204-2212

Practice Phone: 818-244-0400
Practice Fax: 818-244-2836

1427144047 — SERGIO VEIGA M.D.
Practice Location Address:

1133 S CENTRAL AVE , STE 2
GLENDALE, CA
91204-2212

Practice Phone: 818-500-9996
Practice Fax:

1275612509 — MRI HEALTHCARE CENTER OF GLENDALE
Practice Location Address:

1109 S CENTRAL AVE
GLENDALE, CA
91204-2212

Practice Phone: 818-244-4646
Practice Fax:

1760606123 — LOUIS B FLORES M.D.
Practice Location Address:

1123 S CENTRAL AVE
GLENDALE, CA
91204-2212

Practice Phone: 818-365-8509
Practice Fax:

1871780593 — HEALTHY MEDICAL TRASPORTATION
Practice Location Address:

1123 S CENTRAL AVE
GLENDALE, CA
91204-2212

Practice Phone: 818-242-8420
Practice Fax:

1750579546 — RICARDO PORRAS
Practice Location Address:

1123 S CENTRAL AVE
GLENDALE, CA
91204-2212

Practice Phone: 818-242-8804
Practice Fax: 818-242-4442

Directions to “PAK PODIATRY CORP ” 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.